Active NPI
Andrea Notopoulos
- Clinical Social Worker
- Riverton, WY
National Provider Identifier
1801675327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PCSW-1201
- Practice address
- PO Box 1310
Riverton, WY 82501-0158 - Phone
- (307) 856-9281
- NPI assigned
- Sep 25, 2023
- 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 | PCSW-1201 | WY | Primary |
Addresses
Primary practice location
PO Box 1310
Riverton, WY 82501-0158
Mailing address
PO Box 1310
Riverton, WY 82501-0158
Phone (307) 856-9281
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCSW-1201 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1801675327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1310",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825010158",
"telephone_number": "307-856-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1310",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825010158",
"telephone_number": "307-856-9281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTOPOULOS",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "PCSW-1201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.