Active NPI
Robert Conrad Strayer, M.S.W.
- Clinical Social Worker
- Laramie, WY
National Provider Identifier
1720064686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 019LCSW
- Practice address
- 255 N 30TH Street
Laramie, WY 82072 - Phone
- (307) 742-2141
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 019 | WY | |
| Clinical Social Worker | 1041C0700X | 019LCSW | WY | Primary |
Addresses
Primary practice location
255 N 30TH Street
Laramie, WY 82072
Mailing address
719 So 22ND St.
Laramie, WY 82070
Phone (307) 742-9809
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH75 | Other | WY | WINHEALTH PARTNERS |
| 307576 | Other | WY | BS |
| 8000014276 | Other | WY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019 | WY | MD | Clinical Social Worker |
| 019LCSW | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1720064686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 SO 22ND ST.",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-742-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N 30TH STREET",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82072",
"telephone_number": "307-742-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAYER",
"first_name": "ROBERT",
"middle_name": "CONRAD",
"name_prefix": "Mr.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "019",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "019LCSW",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WINHEALTH PARTNERS",
"identifier": "MH75",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "307576",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "8000014276",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.