Robert J Niezwaag Jr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1110 Major Ave # M
Riverton, WY 82501-2342

Phone

(307) 856-6587

Fax

(307) 856-2668

NPI assigned

Jun 8, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fremont Counseling Service 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fremont County Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lander, WY
  • NPI 1003812694

  WY

  Medicare reassignment Care Compare group NPD
• Fremont Counseling Service

  • Community/Behavioral Health Agency
  • Lander, WY
  • NPI 1134401227
  NPD

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780946509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MAJORS AVE.",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "82501",
            "telephone_number": "307-856-6587",
            "fax_number": "307-856-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MAJOR AVE # M",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012342",
            "telephone_number": "307-856-6587",
            "fax_number": "307-856-2668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Wilkins Cir",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826011336",
            "country_code": "US",
            "telephone_number": "307-237-1800",
            "fax_number": "307-237-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEZWAAG",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Needham, PTA
• Kristopher S Nelson, MPT
• New Perspectives Coaching
• Torri L Nicholls, BSW
• Laurie Lynn Nicol, LCSW
• North Big Horn Hospital District
• Beverly Joan North, APRN, FNP-BC
• Andrea Notopoulos
• Oak Haven Dental
• Daniel James Oldman

• All providers in Riverton, WY
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.