Individual provider Active NPI

Katelyn R Rosier, LCSW

  • Clinical Social Worker
  • Laramie, WY
National Provider Identifier
1619301819
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1012 Issued in WY
Practice address
1277 N 15TH St
Laramie, WY 82072-2343
Phone
(307) 742-6222
NPI assigned
Aug 25, 2013
Last updated
May 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-1012 WY Primary
Clinical Social Worker 1041C0700X PCSW-557 WY

Addresses

Primary practice location

1277 N 15TH St
Laramie, WY 82072-2343

Mailing address

33 Stafford BND
Gillette, WY 82718-5469
Phone (307) 680-8100

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
I20200310000271 WY Practitioner - Clinical Social Worker 7810325628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

345 Sinclair St
Gillette, WY 82718-6478
Phone (307) 680-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCSW-557WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Free Indeed Counseling Services Clinical CurrentSince Aug 1, 2022 Accepting new patients

Locations

345 Sinclair St
Gillette, WY 82718
Phone (307) 217-1881

Organizations & group practices 1

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": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1619301819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 STAFFORD BND",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185469",
            "telephone_number": "307-680-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N 15TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722343",
            "telephone_number": "307-742-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIER",
        "first_name": "KATELYN",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-25",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1012",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.