Matthew Ty Barrus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-582 Issued in WY

Practice address

1106 Julie LN
Powell, WY 82435-1632

Phone

(307) 271-7460

NPI assigned

Jun 6, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Wyoming Treatment Center

  • Children's Substance Abuse Rehabilitation Facility
  • Powell, WY
  • NPI 1376700351
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1003100181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 RISEN SON RD",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824358473",
            "telephone_number": "307-254-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 JULIE LN",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824351632",
            "telephone_number": "307-271-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRUS",
        "first_name": "MATTHEW",
        "middle_name": "TY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew B Baker, CRNA
• Heather Bales, LCSW
• Shay Bales
• Banner Health Physicians West LLC
• Noah Phinneaus Alexander Barlow
• Dean Wayne Bartholomew, MD
• Kara Baus
• Mandi Jo Baxendale
• Kinsey Lynn Baxter
• Randall Keith Baxter, DNP

• Clinical Social Worker in Powell, WY
• Providers in Powell, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.