Devin E Dutson, LCSW
Individual provider Active NPI Clinical Social Worker · Powell, WY
NPI 1710159595 · NPPES record last updated Oct 30, 2014
Key facts
- NPI
- 1710159595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-629 (WY)
- Practice address
- 1061 Morning Glory LN
Powell, WY 82435-2266 - Phone
- (307) 254-3407
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- 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 |
|---|---|---|---|
| LCSW-629 | WY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-629 | WY | Yes |
Addresses
Primary practice location
1061 Morning Glory LN
Powell, WY 82435-2266
Mailing address
1061 Morning Glory LN
Powell, WY 82435-2266
Phone (307) 254-3407
Other providers in Powell, WY
- Carol Ann Dean
- Lawrence J Dirksen
- Don Doucet
- Frances Elizabeth Duncan
- Sarah Elizabeth Durney
- Lisa Jane Eaton
- Robert F Ellis
- Ashley Dee Engesser
- Rebecca Ann Erkkila
- Jordan J Eubanks
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 Oct 30, 2014. 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.