Active NPI
Eric G Fernelius, MSW LCSW CLINICAL SO
- Clinical Social Worker
- Casper, WY
National Provider Identifier
1043384662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW535
- Practice address
- 336 S Jackson
Casper, WY 82601 - Phone
- (307) 265-2555
- Fax
- (307) 237-1259
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW535 | WY | Primary |
Addresses
Primary practice location
336 S Jackson
Casper, WY 82601
Mailing address
1704 Maple
Casper, WY 82604
Phone (307) 265-4879
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW535 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions, Inc. | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Transitions Family Counseling & Mediation Center
- Professional Counselor
- Casper, WY
- NPI 1134357783
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043384662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 MAPLE",
"city": "CASPER",
"state": "WY",
"postal_code": "82604",
"telephone_number": "307-265-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 S JACKSON",
"city": "CASPER",
"state": "WY",
"postal_code": "82601",
"telephone_number": "307-265-2555",
"fax_number": "307-237-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNELIUS",
"first_name": "ERIC",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "MSW LCSW CLINICAL SO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW535",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.