Lincoln Self Reliance, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LINCOLN SELF RELIANCE, INC.

Practice address

1038 South Washington
Afton, WY 83110

Phone

(307) 885-1577

Fax

(307) 885-2577

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darrel Skinner, MSWNPI 1255664785

Title

Director

Phone

(307) 885-1577

Specialties & licenses 1

Addresses

Tax ID family

Lincoln Self Reliance Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lincoln Self Reliance, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Afton, WY
  • NPI 1528112620
  NPD tax ID

Locations

Practitioners 2

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.

• Darrel Skinner, MSW

  • Case Manager/Care Coordinator
  • Bedford, WY
  • NPI 1255664785
  NPD Authorized official
• Courtney Kay Hunt

  • Case Manager/Care Coordinator
  • Afton, WY
  • NPI 1043518053
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1295068674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 SOUTH WASHINGTON",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "83110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 SOUTH WASHINGTON",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "83110",
            "telephone_number": "307-885-1577",
            "fax_number": "307-885-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN SELF RELIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "DARREL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-885-1577",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Kuhlman
• Mark Wayne Larsen, MSN-E, FNP-C, CEN
• Jordan K Lee, DO
• Reed Lesuma, PCSW
• Taylor Marie Lewis
• Lincoln Self Reliance, Inc.
• Samuel Wray Linford, M.D.
• James Garry Livingston, DDS
• Jeffrey James Livingston, DDS
• Rhet Mitchell Long, PHARMD

• Case Management Agency in Afton, WY
• Providers in Afton, WY by specialty
• Case Management Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.