NPIMap

Individual provider Active NPI

Allison Walsh-Day, LCSW, MAC

  • Clinical Social Worker
  • Jackson, WY
National Provider Identifier
1457500860
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1014 Issued in WY
Practice address
610 W Broadway Ave
Jackson, WY 83001-8213
Phone
(307) 733-3908
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5903749-3501 UT
Clinical Social Worker 1041C0700X LCSW-1014 WY Primary

Addresses

Primary practice location

610 W Broadway Ave
Jackson, WY 83001-8213

Mailing address

PO Box 11390
Jackson, WY 83002-1390
Phone (307) 733-3908

Other names 1

  • Ms. Allison Walsh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329003103 WY Practitioner - Clinical Social Worker 7517331754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Country Behavioral HealthGroup PAC ID 0648454587, 44 clinicians

Practice addresses (Care Compare)

389 Adams St
Afton, WY 83110-5056
Phone (307) 885-9883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5903749-3501UTMDClinical Social Worker
LCSW-1014WYMDClinical Social Worker
1014WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Behavioral Health Current Accepting new patients
High Country Behavioral Health CurrentSince Mar 6, 2023 Accepting new patients
High Country Behavioral Health CurrentSince Mar 6, 2023 Accepting new patients
High Country Behavioral Health Past Accepting new patients
High Country Behavioral Health Past Accepting new patients
High Country Behavioral Health Past Accepting new patients
High Country Behavioral Health Past Accepting new patients
High Country Behavioral Health Past Accepting new patients
High Country Behavioral Health Past Accepting new patients
High Country Behavioral Health Past Accepting new patients
High Country Behavioral Health Past Accepting new patients
High Country Behavioral Health Past Accepting new patients

Locations

1841 Madora Ave
Douglas, WY 82633

190 Overthrust Rd
Evanston, WY 82930
Phone (307) 389-5764

821 Sage Ave
Kemmerer, WY 83101
Phone (307) 877-4466

721 W Maple St
Rawlins, WY 82301
Phone (307) 324-7156

121 S 4th St
Thermopolis, WY 82443
Phone (307) 864-3138

Organizations & group practices 12

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1457500860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11390",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830021390",
            "telephone_number": "307-733-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W BROADWAY AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018213",
            "telephone_number": "307-733-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH-DAY",
        "first_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "LCSW, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5903749-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "WALSH",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, WY

Sources for this page

Verify at the official NPI Registry.