Susan Marie Liljegren, MSSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

614 Issued in WY

Practice address

424 Yellowstone Ave
Suite 220
Cody, WY 82414-9309

Phone

(307) 578-2919

Fax

(307) 578-2920

NPI assigned

Aug 12, 2005

Last updated

Jan 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Zann Liljegren Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1497757090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 220",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149309",
            "telephone_number": "307-578-2919",
            "fax_number": "307-578-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 220",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149309",
            "telephone_number": "307-578-2919",
            "fax_number": "307-578-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILJEGREN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "35-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZANN",
            "last_name": "LILJEGREN",
            "prefix": "MS.",
            "credential": "MSSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandra May Leonard
• Jo Anna Lettner
• Ashli Amy Lewis, M.S. OTR/L
• Kim M Lewis, MSCCCSLP
• Life's Journey Counseling, P.C.
• Lincare Inc
• Anita Rose Lindemann-Quick, BSN, RN
• Christina M Lindsey
• Jasen J Livermore, LPC
• Jason Livingston

• Clinical Social Worker in Cody, WY
• Providers in Cody, 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 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.