Individual provider Active NPI

Chinna L. Mack, MSW, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1154729713
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1777 Issued in WY
Practice address
300 East 17TH St
Cheyenne, WY 82001-4608
Phone
(307) 631-9931
Fax
(307) 635-7706
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW-238 WY
Clinical Social Worker 1041C0700X PCSW-1036 WY
Social Worker 104100000X LCSW-1777 WY
Clinical Social Worker 1041C0700X LCSW-1777 WY Primary

Addresses

Primary practice location

300 East 17TH St
Cheyenne, WY 82001-4608

Mailing address

300 East 17TH St
Cheyenne, WY 82001-4608
Phone (307) 631-9931

Other identifiers 1

IdentifierTypeStateIssuer
138289600MedicaidWY

Other names 1

  • Chinna Lynnll Rogan Former name

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
CSW-238WYMDSocial Worker
LCSW-1777WYMDSocial Worker
PCSW-1036WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hansen & Associates Inc CurrentSince Oct 2, 2022 Accepting new patients
Hansen and Associates PastSince Oct 2, 2022 Accepting new patients
Volunteers of America Northern Rockies PastSince Apr 28, 2024 Accepting new patients
Volunteers of America Northern Rockies PastSince Apr 28, 2024 Accepting new patients

Locations

300 E 17th St
Cheyenne, WY 82001
Phone (307) 514-1288

Organizations & group practices 4

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1154729713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014608",
            "telephone_number": "307-631-9931",
            "fax_number": "307-635-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014608",
            "telephone_number": "307-631-9931",
            "fax_number": "307-635-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "CHINNA",
        "middle_name": "L.",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WY",
            "license": "CSW-238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-1036",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WY",
            "license": "LCSW-1777",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138289600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINNA",
            "last_name": "ROGAN",
            "middle_name": "LYNNLL",
            "credential": "MSW, PCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.