Individual provider Active NPI

Jeanna M Butterfield, MSW, LCSW

  • Clinical Social Worker
  • Worland, WY
National Provider Identifier
1144345356
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-684 Issued in WY
Practice address
82 Cottonwood Rd
Worland, WY 82401-8711
Phone
(307) 388-0955
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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 LCSW-684 WY Primary

Addresses

Primary practice location

82 Cottonwood Rd
Worland, WY 82401-8711

Mailing address

82 Cottonwood Rd
Worland, WY 82401-8711
Phone (307) 388-0955

Other practice location 1

121 S 4th St
Thermopolis, WY 82443-2634
Phone (307) 864-3138

Other identifiers 1

IdentifierTypeStateIssuer
134196100MedicaidWY

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

LicenseStateTypeSpecialty
LCSW-684WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Frontier Counseling, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1144345356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 COTTONWOOD RD",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824018711",
            "telephone_number": "307-388-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 COTTONWOOD RD",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824018711",
            "telephone_number": "307-388-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Thermopolis",
            "state": "WY",
            "postal_code": "824432634",
            "country_code": "US",
            "telephone_number": "307-864-3138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTERFIELD",
        "first_name": "JEANNA",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134196100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.