Shaylyn Nicole Willow, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW359 Issued in WY

Practice address

909 W Main St
Riverton, WY 82501-3228

Phone

(307) 240-9432

NPI assigned

Jun 27, 2024

Sex

Female

Sole proprietor

No

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

Locations

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.

• Wind River Family & Community Health Care - Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Riverton, WY
  • NPI 1073254595
  NPD
• Wind River Family & Community Healthc Care

  • Federal Public Health Clinic/Center
  • Arapahoe, WY
  • NPI 1285006379
  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1023853413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010158",
            "telephone_number": "307-240-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013228",
            "telephone_number": "307-240-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOW",
        "first_name": "SHAYLYN",
        "middle_name": "NICOLE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WY",
            "license": "CSW359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildflower Wellness Counseling LLC
• Dennis E Williams, MSW, ACSW
• Jeffery Alan Williams
• Thad Justin Willis, DPT
• Marie Clair Willow, CPS
• Charles Emmons Wilson, MA LMFT
• William Carrel Wilson, DVM
• Wind River Cares Riverton
• Wind River Family & Community Health Care
• Wind River Family & Community Health Care - Dialysis Center

• Social Worker in Riverton, WY
• Providers in Riverton, WY by specialty
• Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.