Stephanie S. Ackerman LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

441 Issued in WY

Legal business name

STEPHANIE S. ACKERMAN LLC

Practice address

953 Walnut St
#2B
Wheatland, WY 82201-2665

Phone

(307) 331-9375

Fax

(307) 322-1602

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie S. Ackerman, LCSW

Title

Owner

Phone

(307) 331-9375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1104073733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1434",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822011434",
            "telephone_number": "307-331-9375",
            "fax_number": "307-322-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 WALNUT ST",
            "address_2": "#2B",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012665",
            "telephone_number": "307-331-9375",
            "fax_number": "307-322-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE S. ACKERMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-331-9375",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Wheatland, WY
• Providers in Wheatland, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.