Danielle Christensen, PEER SPECIALIST

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

610 W Broadway Ave
Ste L1
Jackson, WY 83001-8213

Phone

(307) 733-3908

Fax

(307) 734-0017

NPI assigned

Feb 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1255871018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11390",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830021390",
            "telephone_number": "307-733-3908",
            "fax_number": "307-734-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W BROADWAY AVE",
            "address_2": "STE L1",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018213",
            "telephone_number": "307-733-3908",
            "fax_number": "307-734-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "DANIELLE",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WY",
            "license": "WYOMING PEER SPECIAL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah B Chase, PPC
• Elizabeth Cheroutes, LCSW
• Children'S Learning Center
• Chiropractic and Sports Injury Center of Jackson Hole PC
• Chris Schroeder
• Virginia N Christensen, PT, DSC, OCS
• Christina Kitchen PC
• Lara Cilo, M.S., CF-SLP
• Kellie Clay
• Amy Jane Clemens, L.AC.

• Social Worker in Jackson, WY
• Providers in Jackson, WY by specialty
• Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.