Active NPI
Deanna C Ridley, LCSW
- Clinical Social Worker
- Casper, WY
National Provider Identifier
1477880367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-647
- Practice address
- 6550 E 2ND St
Casper, WY 82609-4321 - Phone
- (307) 995-8157
- Fax
- (307) 995-8133
- NPI assigned
- Nov 12, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-647 | WY | Primary |
Addresses
Primary practice location
6550 E 2ND St
Casper, WY 82609-4321
Mailing address
1430 Wilkins Cir
Casper, WY 82601-1336
Phone (307) 237-9583
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-647 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health, LLC | Past | Accepting new patients | |
| Park Ridge Behavioral Healthcare, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Casper, WY
- NPI 1295220242
-
- Clinical Psychologist
- Casper, WY
- NPI 1851624662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1477880367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 WILKINS CIR",
"city": "CASPER",
"state": "WY",
"postal_code": "826011336",
"telephone_number": "307-237-9583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094321",
"telephone_number": "307-995-8157",
"fax_number": "307-995-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDLEY",
"first_name": "DEANNA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-12",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.