Individual provider Active NPI

Hillary Lavino, PCSW

  • Clinical Social Worker
  • Jackson, WY
National Provider Identifier
1518513852
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PCSW-847 Issued in WY
Practice address
610 W Broadway Ave Ste L1
Jackson, WY 83001-8213
Phone
(307) 733-3908
Fax
(307) 734-0017
NPI assigned
Aug 13, 2019
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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 PCSW-847 WY Primary

Addresses

Primary practice location

610 W Broadway Ave Ste L1
Jackson, WY 83001-8213

Mailing address

PO Box 11390
Jackson, WY 83002-1390
Phone (307) 733-3908

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hillary@curranseeley.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230330002136 WY Practitioner - Clinical Social Worker 5698140887 Reassigns benefits to 1 organization
I20230330002559 ID Practitioner - Clinical Social Worker 5698140887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TBT LLCGroup PAC ID 7416213699, 4 clinicians

Practice addresses (Care Compare)

420 W Pearl Ave
Jackson, WY 83001-8409
Phone (307) 734-6040

89 N Main St
Driggs, ID 83422-5164
Phone (307) 734-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCSW-847WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TBT, LLC CurrentSince Feb 10, 2023 Accepting new patients
Teton Behavior Therapy Clinical Past Accepting new patients
Lupine Mental Health and Integrative Psychiatry LLC PastSince Feb 10, 2023 Accepting new patients

Locations

89 N Main St
Driggs, ID 83422
Phone (307) 200-4948

89 N Main St
Ste 203
Driggs, ID 83422
Phone (307) 734-6040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1518513852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11390",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830021390",
            "telephone_number": "307-733-3908",
            "fax_number": "307-734-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W BROADWAY AVE STE L1",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018213",
            "telephone_number": "307-733-3908",
            "fax_number": "307-734-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINO",
        "first_name": "HILLARY",
        "credential": "PCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hillary@curranseeley.com",
            "affiliation": "N",
            "endpointDescription": "Curran Seeley Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "610 W Broadway Ave Ste L1",
            "city": "Jackson",
            "state": "WY",
            "country_code": "US",
            "postal_code": "830018213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

Verify at the official NPI Registry.