Active NPI
Connie Kay Strayer, MSW
- Clinical Social Worker
- Wheatland, WY
National Provider Identifier
1366440471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 74
- Practice address
- 1954 W Mariposa Pkwy
Wheatland, WY 82201-3102 - Phone
- (307) 322-3190
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 74 | WY | Primary |
| Marriage & Family Therapist | 106H00000X | 09 | WY |
Addresses
Primary practice location
1954 W Mariposa Pkwy
Wheatland, WY 82201-3102
Mailing address
1954 W Mariposa Pkwy
Wheatland, WY 82201-3102
Phone (307) 322-3190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307577 | Other | WY | BS |
Other names 1
- Miss Connie Kay Stump
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74 | WY | MD | Clinical Social Worker |
| 09 | WY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1366440471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 W MARIPOSA PKWY",
"city": "WHEATLAND",
"state": "WY",
"postal_code": "822013102",
"telephone_number": "307-322-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1954 W MARIPOSA PKWY",
"city": "WHEATLAND",
"state": "WY",
"postal_code": "822013102",
"telephone_number": "307-322-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAYER",
"first_name": "CONNIE",
"middle_name": "KAY",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "74",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WY",
"license": "09",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "307577",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "STUMP",
"middle_name": "KAY",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wheatland, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.