Elizabeth A. Hastings, LCSW

Individual provider Active NPI Clinical Social Worker · Ft. Washakie, WY

NPI 1023219185 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1023219185
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW-496 (WY)
Practice address
90 Ethete Road
Ft. Washakie, WY 82514
Phone
(307) 332-3516
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW-496WYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-496 WY Yes

Addresses

Primary practice location

90 Ethete Road
Ft. Washakie, WY 82514

Mailing address

PO Box 25
Lander, WY 82520-0025
Phone (307) 332-3119

Other providers in Ft. Washakie, WY

All providers in Ft. Washakie, WY · Clinical Social Worker in Wyoming

Sources for this page

Verify at the official NPI Registry.