Active NPI
Anahi Morillon-Jimenez, MSW, PCSW
- Clinical Social Worker
- Jackson, WY
National Provider Identifier
1467079061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PCSW-911
- Practice address
- 610 W Broadway Ave
Jackson, WY 83001-8213 - Phone
- (307) 413-2177
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PCSW-911 | WY | Primary |
Addresses
Primary practice location
610 W Broadway Ave
Jackson, WY 83001-8213
Mailing address
PO Box 3924
Jackson, WY 83001-3924
Phone (307) 413-2177
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 |
|---|---|---|---|
| PCSW-911 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1467079061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3924",
"city": "JACKSON",
"state": "WY",
"postal_code": "830013924",
"telephone_number": "307-413-2177"
},
{
"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": "307-413-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORILLON-JIMENEZ",
"first_name": "ANAHI",
"name_prefix": "Miss",
"credential": "MSW, PCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "PCSW-911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.