Individual provider Active NPI

Emily Ann Loos, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1043553498
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-663 Issued in WY
Practice address
2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone
(307) 630-4729
Fax
(307) 632-3298
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-663 WY Primary

Addresses

Primary practice location

2500 Dell Range Blvd
Cheyenne, WY 82009-5273

Mailing address

PO Box 20092
Cheyenne, WY 82003-7002
Phone (307) 630-4729

Other practice location 1

1301 Riverside Ave
Fort Collins, CO 80524-4374
Phone (970) 888-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130801000783 WY Practitioner - Clinical Social Worker 5395986392 Reassigns benefits to 1 organization
I20171207000322 CO Practitioner - Clinical Social Worker 5395986392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liv in-Home Counseling and Care Management, LLCGroup PAC ID 5698992352, 22 clinicians

Practice addresses (Care Compare)

1301 Riverside Ave
Fort Collins, CO 80524-4374
Phone (970) 888-4070

6631 E 2ND St
Suite 200
Casper, WY 82609-4355
Phone (307) 277-0652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liv in-Home Counseling & Care Management, LLC CurrentSince May 27, 2014 Accepting new patients
Liv in-Home Counseling and Care Management Past Accepting new patients

Locations

6631 E 2nd St
Ste 200
Casper, WY 82609
Phone (307) 277-0652

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • UT PPO
  • CO HMO C-SNP
  • CO HMO D-SNP
  • CO HMO
  • UT PPO D-SNP

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1043553498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20092",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037002",
            "telephone_number": "307-630-4729",
            "fax_number": "307-632-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095273",
            "telephone_number": "307-630-4729",
            "fax_number": "307-632-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244374",
            "country_code": "US",
            "telephone_number": "970-888-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOS",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.