NPIMap

Organization Active NPI

Stillwaters Counseling LLC

  • Clinical Social Worker
  • Worland, WY
National Provider Identifier
1063729598
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-451 Issued in WY
Legal business name
STILLWATERS COUNSELING LLC
Practice address
316 N 10TH St
Worland, WY 82401-2307
Phone
(307) 431-1317
NPI assigned
Sep 3, 2010
Last updated
Sep 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Lisa L. Jordan, MSW, LCSWNPI 1790800191
Title
Clinical Social Worker
Phone
(307) 431-1317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-451 WY Primary

Addresses

Primary practice location

316 N 10TH St
Worland, WY 82401-2307

Mailing address

408 S 23Rd St
Worland, WY 82401-3725
Phone (307) 431-1317

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1063729598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S 23RD ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013725",
            "telephone_number": "307-431-1317",
            "fax_number": "307-347-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N 10TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012307",
            "telephone_number": "307-431-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "307-431-1317",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.