Individual provider Active NPI

Keileigh Austin Yeend, MSW, LCSW

  • Clinical Social Worker
  • Laramie, WY
National Provider Identifier
1629641204
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-985 Issued in WY
Practice address
504 E Lyon St
Laramie, WY 82072-2132
Phone
(307) 223-2172
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 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 LCSW-985 WY Primary

Addresses

Primary practice location

504 E Lyon St
Laramie, WY 82072-2132

Mailing address

2737 Nighthawk Dr
Laramie, WY 82072-1992
Phone (307) 460-1595

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
I20241122003906 WY Practitioner - Clinical Social Worker 8628503927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
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
LCSW-985WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Clinic, LLC CurrentSince Jul 21, 2024 Accepting new patients
Skye Yoga Counseling, LLC CurrentSince Jun 25, 2024 Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1629641204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 NIGHTHAWK DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820721992",
            "telephone_number": "307-460-1595"
        },
        {
            "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": "307-223-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEEND",
        "first_name": "KEILEIGH",
        "middle_name": "AUSTIN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.