Individual provider Active NPI

Elizabeth Ann Pierson, MSW PCSW

  • Clinical Social Worker
  • Gillette, WY
National Provider Identifier
1114080660
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
569 Issued in WY
Practice address
405 W Boxelder Rd
Suite A1
Gillette, WY 82718-5320
Phone
(307) 686-7779
NPI assigned
Dec 18, 2006
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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 569 WY Primary

Addresses

Primary practice location

405 W Boxelder Rd
Suite A1
Gillette, WY 82718-5320

Mailing address

4418 Doud Drive
Gillette, WY 82718

Other practice location 1

6866 River Ridge Dr
Newburgh, IN 47630-9737
Phone (605) 381-0068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110223000224 WY Practitioner - Clinical Social Worker 6901087014 Reassigns benefits to 1 organization
I20220919002051 IN Practitioner - Clinical Social Worker 6901087014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6866 River Ridge Dr
Newburgh, IN 47630-9737
Phone (605) 381-0068

908 S Gillette Ave
Gillette, WY 82716-4807
Phone (605) 381-0068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lukehart & Pierson Counseling, LLC Clinical CurrentSince Oct 21, 2014 Accepting new patients

Locations

4333 State Route 261
Newburgh, IN 47630
Phone (605) 381-0068

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1114080660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 DOUD DRIVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W BOXELDER RD",
            "address_2": "SUITE A1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185320",
            "telephone_number": "307-686-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6866 River Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476309737",
            "country_code": "US",
            "telephone_number": "605-381-0068",
            "fax_number": "812-473-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW PCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.