Lorry Stufflebeam, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

70 3Rd Ave
Afton, WY 83110-8311

Phone

(307) 522-1541

Fax

(307) 459-6800

NPI assigned

Jul 16, 2018

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1033695804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1474",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831101474",
            "telephone_number": "307-522-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 3RD AVE",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831108311",
            "telephone_number": "307-522-1541",
            "fax_number": "307-459-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8559 S Coachman Way",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840885509",
            "country_code": "US",
            "telephone_number": "801-201-6213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUFFLEBEAM",
        "first_name": "LORRY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF WYOMING",
            "identifier": "1033695804",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Star Valley Senior Center Inc
• Starshine Inc.
• Sterling Provider Group
• Noel B Stibor, M.D.
• Kevin L Stucki, DO
• Devry C Taylor
• Therapy Works LLC
• University of Utah Adult Services (STAR VALLEY MEDICAL CENTER-Cardiology EP)
• University of Utah Adult Services (STAR VALLEY MEDICAL CENTER-Cardiology)
• Myka Call Veigel, D.O.

• Clinical Social Worker in Afton, WY
• Providers in Afton, 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 Aug 23, 2022; 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.