Richard A Esquibel, BSW, CSW

Key facts

NPI

1003986571

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

113 (WY)

Practice address

604 E 25TH St
Cheyenne, WY 82001-3133

Phone

(307) 637-3953

Fax

(307) 638-6805

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2011.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1003986571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E 25TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013133",
            "telephone_number": "307-637-3953",
            "fax_number": "307-638-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E 25TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013133",
            "telephone_number": "307-637-3953",
            "fax_number": "307-638-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIBEL",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "BSW, CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Cheyenne, WY · Clinical Social Worker in Wyoming