Audrey Noelle Mathson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1123 Issued in WY

Practice address

925 W. Birch St
Glenrock, WY 82637

Phone

(307) 436-9206

Fax

(307) 436-9730

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glenrock Hospital DistrictGroup PAC ID 8527976828, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Glenrock Hospital District

  • Rural Health Clinic/Center
  • Glenrock, WY
  • NPI 1093758161
  Medicare reassignment Care Compare group NPD
• Glenrock Hospital District

  • Clinical Medical Laboratory
  • Glenrock, WY
  • NPI 1437294972
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1477044261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370786",
            "telephone_number": "307-436-9206",
            "fax_number": "307-436-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W. BIRCH ST",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "82637",
            "telephone_number": "307-436-9206",
            "fax_number": "307-436-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHSON",
        "first_name": "AUDREY",
        "middle_name": "NOELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "1123",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenrock Hospital District
• Glenrock Hsopital District
• Elizabeth Mae Lacey, RESPITE PROVIDER
• Aaron David Larsen, D.D.S.
• Andrea Lien
• Memorial Hospital of Converse County
• Kathleen Meehan Murphy, DDS
• Ashley Oviedo-Lopez, FNP-BC
• Shannon D Pinkerton
• Quality of Life, P.C.

• Clinical Social Worker in Glenrock, WY
• Providers in Glenrock, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.