Lauren Jackson, M.S.W., PCSW
Individual provider Active NPI Clinical Social Worker · Casper, WY
NPI 1700126232 · NPPES record last updated Feb 20, 2013
Key facts
- NPI
- 1700126232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- PCSW-532 (WY)
- Practice address
- 2345 E 2ND St
Casper, WY 82609-2048 - Phone
- (307) 233-2200
- Fax
- (307) 233-2201
- NPI assigned
- Feb 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
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-532 | WY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PCSW-532 | WY | Yes |
Addresses
Primary practice location
2345 E 2ND St
Casper, WY 82609-2048
Mailing address
2345 E 2ND St
Casper, WY 82609-2048
Phone (307) 233-2200
Other providers in Casper, WY
- Ondrea Ivey
- Alicja Kinga Iznerowicz
- J L Glover, LLC
- Juliann Jaber
- April Dawn Jacka
- Tanaya Moon Jackson
- Jayne Esther Jacobs
- Dana Jacoby
- Mary Sue Jacques
- James a Knott MD PC
All providers in Casper, 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 Feb 20, 2013. 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.