Active NPI
Matthew Bjornson
- Social Worker
- Casper, WY
National Provider Identifier
1083398135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PCSW-1100
- Practice address
- 1430 Wilkins Cir
Casper, WY 82601-1336 - Phone
- (307) 237-9583
- NPI assigned
- Jun 9, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | PCSW-1100 | WY | Primary |
Addresses
Primary practice location
1430 Wilkins Cir
Casper, WY 82601-1336
Mailing address
1430 Wilkins Cir
Casper, WY 82601-1336
Phone (307) 237-9583
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 |
|---|---|---|---|
| PCSW-1100 | WY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1083398135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 WILKINS CIR",
"city": "CASPER",
"state": "WY",
"postal_code": "826011336",
"telephone_number": "307-237-9583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 WILKINS CIR",
"city": "CASPER",
"state": "WY",
"postal_code": "826011336",
"telephone_number": "307-237-9583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORNSON",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WY",
"license": "PCSW-1100",
"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 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.