Teresa Jacobs-Castano PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 176 Issued in WY

Legal business name

TERESA JACOBS-CASTANO PC

Practice address

502 S 4TH St
Laramie, WY 82070-3704

Phone

(307) 755-1000

Fax

(307) 742-9717

NPI assigned

Jun 30, 2009

Organization subpart

No

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

Authorized official

Name

Teresa Jacobs-CastanoNPI 1821215286

Title

Owner

Phone

(307) 755-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa J Jacobs Castano, LCSW LAT

  • Clinical Social Worker
  • Laramie, WY
  • NPI 1821215286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1164650917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703704",
            "telephone_number": "307-755-1000",
            "fax_number": "307-742-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703704",
            "telephone_number": "307-755-1000",
            "fax_number": "307-742-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA JACOBS-CASTANO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "JACOBS-CASTANO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-755-1000"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW 176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Telgenhoff, PCSW
• Elizabeth Temple
• Trey Alan Temsik I, CMT
• April Tenorio
• Abby Lynn Teply
• Kelli Terrell
• Tessa Matzen, LCSW LLC
• Lauren Elizabeth Thacker-Lynn, PHARMD
• The Clinic for Mental Health & Wellness
• The Clinic for Mental Health and Wellness

• Clinical Social Worker in Laramie, WY
• Providers in Laramie, 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 Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.