Individual provider Active NPI

Gregory A Krall, LCSW

  • Clinical Social Worker
  • Torrington, WY
National Provider Identifier
1730432832
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1016 Issued in WY
Practice address
501 Albany Ave
Torrington, WY 82240-1503
Phone
(307) 532-4091
NPI assigned
Oct 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 447 WY
Clinical Social Worker 1041C0700X LCSW-1016 WY Primary

Addresses

Primary practice location

501 Albany Ave
Torrington, WY 82240-1503

Mailing address

501 Albany Ave
Torrington, WY 82240-1503
Phone (307) 532-4091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920003059 WY Practitioner - Clinical Social Worker 1759678659 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-1016WYMDClinical Social Worker
447WYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital CurrentSince Sep 19, 2021 Accepting new patients

Locations

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1730432832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ALBANY AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401503",
            "telephone_number": "307-532-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ALBANY AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401503",
            "telephone_number": "307-532-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRALL",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-26",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "447",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, WY

Sources for this page

Verify at the official NPI Registry.