Individual provider Active NPI

John Robert Marquiss, MSSA

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1508407347
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1596 Issued in WY
Practice address
701 Antler Dr Ste 206
Casper, WY 82601-1749
Phone
(307) 439-5588
NPI assigned
Oct 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-1596 WY Primary

Addresses

Primary practice location

701 Antler Dr Ste 206
Casper, WY 82601-1749

Mailing address

701 Antler Dr Ste 206
Casper, WY 82601-1749
Phone (307) 439-5588

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231120001644 WY Practitioner - Clinical Social Worker 1951759638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-1596WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind on the Mend LLC Clinical CurrentSince Feb 2, 2025 Accepting new patients
Central Wyoming Counseling Center CurrentSince Oct 8, 2023 Accepting new patients
Central Wyoming Counseling Center CurrentSince Oct 8, 2023 Accepting new patients

Locations

701 Antler Dr
Ste 206
Casper, WY 82601
Phone (307) 439-4128

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1508407347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ANTLER DR STE 206",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011749",
            "telephone_number": "307-439-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ANTLER DR STE 206",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011749",
            "telephone_number": "307-439-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUISS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "MSSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.