Individual provider Active NPI

Kirbie L Brown, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1609410547
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1480 Issued in WY
Practice address
2321 Dunn Ave Ste 4
Cheyenne, WY 82001-3214
Phone
(307) 314-2319
NPI assigned
Nov 4, 2019
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW-312 WY
Clinical Social Worker 1041C0700X PCSW-937 WY
Clinical Social Worker 1041C0700X LCSW-1480 WY Primary

Addresses

Primary practice location

2321 Dunn Ave Ste 4
Cheyenne, WY 82001-3214

Mailing address

4800 Converse Ave Unit 22118
Cheyenne, WY 82003-6085

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
I20240213001291 WY Practitioner - Clinical Social Worker 6507218567 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW-312WYMDClinical Social Worker
PCSW-937WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wevolve LLC CurrentSince Dec 23, 2023 Accepting new patients
Rising Phoenix Solutions Wyoming LLC Clinical CurrentSince Feb 26, 2020 Accepting new patients

Locations

1623 Central Ave
Ste 202
Cheyenne, WY 82001
Phone (307) 314-9789

2321 Dunn Ave
Cheyenne, WY 82001
Phone (307) 314-9789

2321 Dunn Ave
Ste 4
Cheyenne, WY 82001
Phone (307) 314-2319

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1609410547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 CONVERSE AVE UNIT 22118",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820036085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 DUNN AVE STE 4",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013214",
            "telephone_number": "307-314-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIRBIE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "CSW-312",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-937",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.