Individual provider Active NPI

Sarah Stephan Green, LCSW

  • Clinical Social Worker
  • Laramie, WY
National Provider Identifier
1588049795
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1605 Issued in WY
Practice address
504 E Lyon St
Laramie, WY 82072-2132
Phone
(307) 314-9351
Fax
(307) 263-0492
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 1605 WY Primary

Addresses

Primary practice location

504 E Lyon St
Laramie, WY 82072-2132

Mailing address

504 E Lyon St
Laramie, WY 82072-2132
Phone (307) 314-9351

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
I20230509003055 WY Practitioner - Clinical Social Worker 5799141115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skye Yoga Counseling LLCGroup PAC ID 7810422102, 4 clinicians

Practice addresses (Care Compare)

504 E Lyon St
Laramie, WY 82072-2132
Phone (307) 223-2172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1605WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wyoming Current Accepting new patients
University of Wyoming CurrentSince Jan 17, 2023 Accepting new patients
Skye Yoga Counseling, LLC CurrentSince Sep 22, 2024 Accepting new patients
University of Wyoming Speech and Hearing Clinic CurrentSince Jan 17, 2023 Accepting new patients
Family Care Clinic, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

2710 Harney St
Ste 202204
Laramie, WY 82072
Phone (307) 431-5055

504 E Lyon St
Laramie, WY 82072
Phone (307) 223-2172

1174 N 22nd St
Laramie, WY 82072
Phone (307) 745-3704

Organizations & group practices 5

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1588049795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E LYON ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722132",
            "telephone_number": "307-314-9351",
            "fax_number": "307-263-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E LYON ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722132",
            "telephone_number": "307-314-9351",
            "fax_number": "307-263-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SARAH",
        "middle_name": "STEPHAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.