Individual provider Active NPI

Jennifer Whitten, LCSW

  • Clinical Social Worker
  • Rock Springs, WY
National Provider Identifier
1275280265
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1691 Issued in WY
Practice address
2620 Commercial Way Ste 140
Rock Springs, WY 82901-4750
Phone
(435) 755-6061
Fax
(435) 994-8362
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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-1691 WY Primary

Addresses

Primary practice location

2620 Commercial Way Ste 140
Rock Springs, WY 82901-4750

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Other practice location 1

75 Yellow Creek Rd Ste 102
Evanston, WY 82930-5205
Phone (307) 789-8290

Other names 1

  • Jennifer Coleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20250602001361 WY Practitioner - Clinical Social Worker 2163931148 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-1691WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. CurrentSince Mar 21, 2025 Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. CurrentSince Mar 21, 2025 Accepting new patients

Locations

500 S 11th Ave
Ste 400
Pocatello, ID 83201

517 W 100 N
Ste 210
Providence, UT 84332

75 Yellow Creek Rd
Ste 102
Evanston, WY 82930
Phone (307) 789-8290

2620 Commercial Way
Ste 140
Rock Springs, WY 82901
Phone (307) 212-4241

Interoperability endpoints

  • Direct secure messaging: jennifer.whitten.1@16258.direct.athenahealth.com

Organizations & group practices 3

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1275280265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 140",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014750",
            "telephone_number": "435-755-6061",
            "fax_number": "435-994-8362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Yellow Creek Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "829305205",
            "country_code": "US",
            "telephone_number": "307-789-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COLEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.