Individual provider Active NPI

Laura Amanda Roy, MSW, LCSW

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1578709010
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-782 Issued in WY
Practice address
5725 Highland Dr
Casper, WY 82609-4382
Phone
(307) 265-3977
NPI assigned
Jan 6, 2009
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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-782 WY Primary

Addresses

Primary practice location

5725 Highland Dr
Casper, WY 82609-4382

Mailing address

5725 Highland Dr
Casper, WY 82609-4382
Phone (307) 265-3977

Other names 1

  • L. Amanda Roy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-782WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Place at Highland Park Community Church PastSince Jun 28, 2020 Accepting new patients
The Healing Place Counselor PastSince Jun 28, 2020 Accepting new patients

Organizations & group practices 2

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1578709010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 HIGHLAND DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094382",
            "telephone_number": "307-265-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 HIGHLAND DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094382",
            "telephone_number": "307-265-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "LAURA",
        "middle_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L.",
            "last_name": "ROY",
            "middle_name": "AMANDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.