Brookridge Counseling Services Inc

Organization Active NPI Clinical Social Worker · Casper, WY

NPI 1578035846 · NPPES record last updated Feb 4, 2019

Key facts

NPI
1578035846
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
BROOKRIDGE COUNSELING SERVICES INC
Practice address
145 S Durbin St Ste 104
Casper, WY 82601-2538
Phone
(307) 267-6779
Fax
(307) 333-0376
NPI assigned
Dec 26, 2018
Organization subpart
No

Authorized official

Name
Mrs. Cynthia Ann Repasky, MSW, LCSW
Title
Owner/Provider
Phone
(307) 267-6779

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

145 S Durbin St Ste 104
Casper, WY 82601-2538

Mailing address

145 S Durbin St Ste 104
Casper, WY 82601-2538
Phone (307) 267-6779

Other identifiers

IdentifierTypeStateIssuer
1760834642MedicaidWY

Other providers in Casper, WY

All providers in Casper, WY · Clinical Social Worker in Wyoming

Sources for this page

Verify at the official NPI Registry.