Cory Dean Carpenter, PCSW, CAP
Individual provider Active NPI Clinical Social Worker · Powell, WY
NPI 1669740858 · NPPES record last updated Jun 5, 2019
Key facts
- NPI
- 1669740858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- PCSW-843 (WY)
- Practice address
- 306 N Bent St
Powell, WY 82435-2338 - Phone
- (307) 202-1067
- NPI assigned
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCSW-843 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Wyoming Treatment Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 152 | WY | |
| Clinical Social Worker | 1041C0700X | PCSW-843 | WY | Yes |
Addresses
Primary practice location
306 N Bent St
Powell, WY 82435-2338
Mailing address
555 Mountain View St
Powell, WY 82435-1720
Phone (307) 202-1067
Other practice location 1
1106 Julie Ln
Powell, WY 82435-1632
Phone (307) 271-7460
Other providers in Powell, WY
- Amanda Kay Buffkin
- Karen R. Burk
- Savina Butler
- Jessica Campbell
- Lindsay Nicole Carlson
- CG Mental Health Inc.
- Robert Chandler
- Tanja Chandler
- Jennifer H Chanley
- Joshua Chavarria
All providers in Powell, WY · Clinical Social Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.