Active NPI
Shanda Barlow
- Clinical Social Worker
- Riverton, WY
National Provider Identifier
1124608088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW1553
- Practice address
- 1035 Rose LN
Riverton, WY 82501-2291 - Phone
- (307) 463-7160
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW1553 | WY | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1035 Rose LN
Riverton, WY 82501-2291
Mailing address
5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW1553 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wind River Family & Community Healthc Care | Current | Accepting new patients | |
| Community Health Center of Central Wyoming, Inc. | Current | Accepting new patients | |
| Community Health Center of Central Wyoming Inc | Current | Accepting new patients |
Locations
14 Great Plains Rd
Arapahoe, WY 82510
5000 Blackmore Rd
Casper, WY 82609
Phone (307) 233-6000
1035 Rose Ln
Riverton, WY 82501
Phone (307) 463-6300
Interoperability endpoints
- https://api.platform.athenahealth.com/3934/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Casper, WY
- NPI 1447480561
-
- Federal Public Health Clinic/Center
- Arapahoe, WY
- NPI 1285006379
TX
-
- Federally Qualified Health Center (FQHC)
- Dubois, WY
- NPI 1306136205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1124608088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 BLACKMORE RD",
"city": "CASPER",
"state": "WY",
"postal_code": "826093345",
"telephone_number": "307-233-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 ROSE LN",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825012291",
"telephone_number": "307-463-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLOW",
"first_name": "SHANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW1553",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.