Jan Schaad LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

410 Issued in WY

Legal business name

JAN SCHAAD LCSW PC

Practice address

2622 Pioneer Ave
Cheyenne, WY 82001-3024

Phone

(307) 630-4688

Fax

(307) 637-2899

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Janice A Schaad, MSW LCSW

Title

President

Phone

(307) 630-4688

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1306896402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820030326",
            "telephone_number": "307-763-0468",
            "fax_number": "307-637-2899"
        },
        {
            "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": "307-630-4688",
            "fax_number": "307-637-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN SCHAAD LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "SCHAAD",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-630-4688",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION NUMBER",
            "identifier": "W21033",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123007700",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00368425",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevaeh Jacques
• Raja Shekar Rao Jadav, MD
• Kala James, PHARMD
• Kelsey Marie James, PHARMD
• Stephanie Anne James, LCSW
• Janel M Reese LCSW LLC
• Destinee Autumn Jara
• Manasa Jasti, M.D.
• Tiffany Halling Jastorff Gillies, PHARMD
• Jazan Information Technology Services

• Clinical Social Worker in Cheyenne, WY
• Providers in Cheyenne, 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 Apr 4, 2012; 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.