Active NPI
Myrtice Judd
- Social Worker
- Casper, WY
National Provider Identifier
1043030554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 701 Antler Dr Ste 104
Casper, WY 82601-1717 - Phone
- (307) 333-7522
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
701 Antler Dr Ste 104
Casper, WY 82601-1717
Mailing address
4901 Lathrop Rd Lot 42
Evansville, WY 82636-8693
Phone (307) 797-5077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Counseling and Case Management, LLC | Current | Accepting new patients |
Locations
701 Antler Dr
Ste 104
Casper, WY 82601
Phone (307) 333-7522
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Casper, WY
- NPI 1467273482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1043030554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 LATHROP RD LOT 42",
"city": "EVANSVILLE",
"state": "WY",
"postal_code": "826368693",
"telephone_number": "307-797-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 ANTLER DR STE 104",
"city": "CASPER",
"state": "WY",
"postal_code": "826011717",
"telephone_number": "307-333-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "MYRTICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.