Active NPI
Sandra Kay Morrigan, M.S.W., L.M.S.W
- Clinical Social Worker
- Evanston, WY
National Provider Identifier
1467545905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923140
- Practice address
- 190 Overthrust Rd.
Evanston, WY 82931 - Phone
- (307) 789-4224
- NPI assigned
- Oct 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-1397 | WY | |
| Clinical Social Worker | 1041C0700X | CSW.09923140 | CO | Primary |
Addresses
Primary practice location
190 Overthrust Rd.
Evanston, WY 82931
Mailing address
190 Overthrust Rd.
Evanston, WY 82931
Phone (307) 789-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44401370 | Medicaid | CO |
Other names 1
- Ms. Sandra Kay Leach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09923140 | CO | MD | Clinical Social Worker |
| LCSW-1397 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients |
Locations
1248 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-1026
190 Overthrust Rd
Evanston, WY 82930
Phone (307) 389-5764
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Afton, WY
- NPI 1457472748
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pinedale, WY
- NPI 1508058173
-
- Mental Illness Community Based Residential Treatment Facility
- Douglas, WY
- NPI 1750113882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1467545905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 OVERTHRUST RD.",
"city": "EVANSTON",
"state": "WY",
"postal_code": "82931",
"telephone_number": "307-789-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 OVERTHRUST RD.",
"city": "EVANSTON",
"state": "WY",
"postal_code": "82931",
"telephone_number": "307-789-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIGAN",
"first_name": "SANDRA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "M.S.W., L.M.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2023-09-15",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-1397",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44401370",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "LEACH",
"middle_name": "KAY",
"prefix": "MS.",
"credential": "M.S.W., L.M.S.W",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.