Individual provider Active NPI

Jennifer Quinn, LCSW

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1063801231
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1009 Issued in WY
Practice address
741 W 59TH St
Casper, WY 82601-6423
Phone
(307) 677-6237
NPI assigned
Jan 12, 2015
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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-1009 WY Primary

Addresses

Primary practice location

741 W 59TH St
Casper, WY 82601-6423

Mailing address

741 W 59TH St
Casper, WY 82601-6423
Phone (307) 677-6237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161128002169 WY Practitioner - Clinical Social Worker 5991084469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

152 N Durbin St
Suite 304
Casper, WY 82601-1960
Phone (307) 224-2335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Penny for Your Thoughts Wellness LLC Clinical CurrentSince Jul 22, 2023 Accepting new patients

Locations

152 N Durbin St
Ste 304
Casper, WY 82601
Phone (307) 224-2335

1541 Diamond Dr
Casper, WY 82601
Phone (307) 224-2060

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1063801231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W 59TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016423",
            "telephone_number": "307-677-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 W 59TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016423",
            "telephone_number": "307-677-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.