Juli K Wallin-Fisgus, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-816 Issued in WY

Practice address

2161 Coffeen Ave
Sheridan, WY 82801-5754

Phone

(307) 751-9090

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Creek Counseling Associates LLCGroup PAC ID 1254685704, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willow Creek Counseling Associates, LLC

  • Mental Health Counselor
  • Sheridan, WY
  • NPI 1851784003
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1598089807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6650",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828017102",
            "telephone_number": "307-751-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 COFFEEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015754",
            "telephone_number": "307-751-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN-FISGUS",
        "first_name": "JULI",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Wall, LPN
• Terry L Wall, MA
• Ian Wallace
• Judith Wallace, MAC, LAT
• Kaitlin Jean Wallace
• Sandra Ann Wallop, MS
• Walmart Inc.
• Karen Lee Walmsley, MSW
• Alexis N Walter, MSW
• Jory N Wasserburger, MD

• Clinical Social Worker in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.