Active NPI
Susan Follum, MSW, LCSW
- Clinical Social Worker
- Casper, WY
National Provider Identifier
1780078378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-904
- Practice address
- 5000 Blackmore Rd
Casper, WY 82609-3345 - Phone
- (307) 233-6097
- Fax
- (307) 233-6008
- NPI assigned
- Mar 23, 2015
- Last updated
- Mar 23, 2015
- 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 | LCSW-904 | WY | Primary |
Addresses
Primary practice location
5000 Blackmore Rd
Casper, WY 82609-3345
Mailing address
5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1780078378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 BLACKMORE RD",
"city": "CASPER",
"state": "WY",
"postal_code": "826093345",
"telephone_number": "307-233-6097",
"fax_number": "307-233-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 BLACKMORE RD",
"city": "CASPER",
"state": "WY",
"postal_code": "826093345",
"telephone_number": "307-233-6097",
"fax_number": "307-233-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLLUM",
"first_name": "SUSAN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.