Jessica Sheri Anna Louise Colehour, PCSW
Individual provider Active NPI Clinical Social Worker · Cheyenne, WY
NPI 1679294128 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1679294128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- PCSW-1015 (WY)
- Practice address
- 2500 Dell Range Blvd
Cheyenne, WY 82009-5273 - Phone
- (307) 630-4729
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Liv in-Home Counseling and Care Management, LLC
Practice addresses (Care Compare)
2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605001558 | WY | Practitioner - Clinical Social Worker | 5294244646 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCSW-1015 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liv in-Home Counseling & Care Management, LLC | Clinical | Current |
Accepting new patients |
Locations
2500 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 630-4729
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PCSW-1015 | WY | Yes |
Addresses
Primary practice location
2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Mailing address
2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729
Other providers in Cheyenne, WY
- Emily Cole
- Fallon Cole
- Mary O Cole
- Miranda Cole
- Tori Cole
- Matthew Chase Coleman
- Mona Coler
- Carmela Denise Coles
- Collaborative Connections
- College Drive Urgent Care LLC
All providers in Cheyenne, 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 Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.