Active NPI
Elizabeth Cheroutes, LCSW
- Clinical Social Worker
- Jackson, WY
National Provider Identifier
1720123300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 480 S Cache St
15
Jackson, WY 83001-8222 - Phone
- (307) 690-0484
- Fax
- (855) 827-1278
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | WY | Primary |
Addresses
Primary practice location
480 S Cache St
15
Jackson, WY 83001-8222
Mailing address
PO Box 12931
Jackson, WY 83002-2931
Phone (307) 690-0484
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 |
|---|---|---|---|
| 387 | WY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1720123300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12931",
"city": "JACKSON",
"state": "WY",
"postal_code": "830022931",
"telephone_number": "307-690-0484",
"fax_number": "855-827-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 S CACHE ST",
"address_2": "15",
"city": "JACKSON",
"state": "WY",
"postal_code": "830018222",
"telephone_number": "307-690-0484",
"fax_number": "855-827-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEROUTES",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.