Individual provider Active NPI

Claudia R Welborn, MSW, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1205087848
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-866 Issued in WY
Practice address
2622 Pioneer Ave
Cheyenne, WY 82001-3024
Phone
(307) 630-4729
Fax
(307) 632-3298
NPI assigned
Oct 1, 2008
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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-866 WY Primary

Addresses

Primary practice location

2622 Pioneer Ave
Cheyenne, WY 82001-3024

Mailing address

PO Box 191
Laurel, MT 59044-0191
Phone (406) 633-0771

Other practice location 1

2409 Atchison Dr
Laurel, MT 59044-3560
Phone (307) 752-7813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220408000670 TX Practitioner - Clinical Social Worker 2264747450 Practice locations: Conroe, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16732 Lonely Pines Dr
Conroe, TX 77302-2014
Phone (432) 242-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6794TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1205087848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590440191",
            "telephone_number": "406-633-0771",
            "fax_number": "855-424-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013024",
            "telephone_number": "307-630-4729",
            "fax_number": "307-632-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 ATCHISON DR",
            "address_purpose": "LOCATION",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590443560",
            "country_code": "US",
            "telephone_number": "307-752-7813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "CLAUDIA",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.