Active NPI
Elaine Doty Renfro, LSCSW , LCSW
- Clinical Social Worker
- Cheyenne, WY
National Provider Identifier
1073786844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-623
- Practice address
- 2600 E 18TH St
Cheyenne, WY 82001-5511 - Phone
- (307) 637-1600
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3605 | KS | |
| Clinical Social Worker | 1041C0700X | 2007000625 | MO | |
| Clinical Social Worker | 1041C0700X | LCSW-623 | WY | Primary |
Addresses
Primary practice location
2600 E 18TH St
Cheyenne, WY 82001-5511
Mailing address
PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 637-1600
Other practice location 1
920 6th Ave
Leavenworth, KS 66048-3225
Phone (913) 682-7225
Other practice location 2
214 E 23rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3605 | KS | MD | Clinical Social Worker |
| 2007000625 | MO | MD | Clinical Social Worker |
| LCSW-623 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073786844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20970",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820037020",
"telephone_number": "307-637-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E 18TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015511",
"telephone_number": "307-637-1600"
}
],
"practiceLocations": [
{
"address_1": "920 6th Ave",
"address_purpose": "LOCATION",
"city": "Leavenworth",
"state": "KS",
"postal_code": "660483225",
"country_code": "US",
"telephone_number": "913-682-7225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 E 23rd St",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820013748",
"country_code": "US",
"telephone_number": "307-634-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENFRO",
"first_name": "ELAINE",
"middle_name": "DOTY",
"name_prefix": "Ms.",
"credential": "LSCSW , LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "3605",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2007000625",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.