Laura Kietell, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

575 Issued in WY

Practice address

1401 Airport Pkwy Ste 210B
Cheyenne, WY 82001-1541

Phone

(307) 240-2703

Fax

(307) 222-0279

NPI assigned

Sep 19, 2008

Last updated

Nov 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cheyenne, WY
  • NPI 1912487208
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1508016023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AIRPORT PKWY STE 210B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011541",
            "telephone_number": "307-240-2703",
            "fax_number": "307-222-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AIRPORT PKWY STE 210B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011541",
            "telephone_number": "307-240-2703",
            "fax_number": "307-222-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Airport Pkwy Ste 210B",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011541",
            "country_code": "US",
            "telephone_number": "307-240-2703",
            "fax_number": "307-222-0279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIETELL",
        "first_name": "LAURA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William D Ketcham, M.D.
• Stephanie M Kettl, MS, LPC
• Kathryn Rose Keys
• Elias Kfoury, M.D.
• Jenna Kibbon, PT
• Kelly Ann Kile
• David M. Kilpatrick, M.D.
• James Jung in Kim, PHARMD
• Onjin Kim, M.D.
• Ali Kimyaghalam, M.D.

• Clinical Social Worker in Cheyenne, WY
• Providers in Cheyenne, 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 Nov 22, 2019; 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.