Active NPI
Jodi M Verplancke
- Clinical Social Worker
- Buffalo, WY
National Provider Identifier
1760637813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 626
- Practice address
- 521 W Lott St
Buffalo, WY 82834-1642 - Phone
- (307) 684-5531
- Fax
- (307) 684-2912
- NPI assigned
- Nov 17, 2008
- 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 | 626 | WY | Primary |
Addresses
Primary practice location
521 W Lott St
Buffalo, WY 82834-1642
Mailing address
521 W Lott St
Buffalo, WY 82834-1642
Phone (307) 684-5531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386798239 | Medicaid | WY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101018001296 | WY | Practitioner - Clinical Social Worker | 4587857990 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 626 | WY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Center | Current | Accepting new patients | |
| Johnson County Memorial Hospital | Current | Accepting new patients |
Locations
497 W Lott St
Buffalo, WY 82834
Phone (307) 684-2228
Organizations & group practices 2
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": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1760637813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W LOTT ST",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828341642",
"telephone_number": "307-684-5531",
"fax_number": "307-684-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W LOTT ST",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828341642",
"telephone_number": "307-684-5531",
"fax_number": "307-684-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERPLANCKE",
"first_name": "JODI",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386798239",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.