Active NPI
Karri Ellen Primak, MSW
- Social Worker
- Cheyenne, WY
National Provider Identifier
1447276845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW-269A
- Practice address
- 2360 E Pershing Blvd
-122
Cheyenne, WY 82001-5356 - Phone
- (307) 778-7550
- Fax
- (307) 778-7599
- NPI assigned
- Jul 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW-269A | WY | Primary |
Addresses
Primary practice location
2360 E Pershing Blvd
-122
Cheyenne, WY 82001-5356
Mailing address
725 Harrison Ave
Loveland, CO 80537-4630
Phone (970) 669-2093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW-269A | Other | WY | SOCIAL WORK LICENSE |
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 |
|---|---|---|---|
| LCSW-269A | WY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447276845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HARRISON AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374630",
"telephone_number": "970-669-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 E PERSHING BLVD",
"address_2": "-122",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015356",
"telephone_number": "307-778-7550",
"fax_number": "307-778-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMAK",
"first_name": "KARRI",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WY",
"license": "LCSW-269A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "LCSW-269A",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.