Individual provider Active NPI

Sandra Kay Morrigan, M.S.W., L.M.S.W

  • Clinical Social Worker
  • Evanston, WY
National Provider Identifier
1467545905
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923140 Issued in CO
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

Updated by the provider on Sep 15, 2023

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 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

IdentifierTypeStateIssuer
44401370MedicaidCO

Other names 1

  • Ms. Sandra Kay Leach Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09923140COMDClinical Social Worker
LCSW-1397WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Behavioral Health CurrentSince Aug 15, 2022 Accepting new patients
High Country Behavioral Health CurrentSince Aug 15, 2022 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.

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

Verify at the official NPI Registry.