Individual provider Active NPI

Mary Jo Greenwood, LCSW

  • Clinical Social Worker
  • Saratoga, WY
National Provider Identifier
1831181130
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-618 Issued in WY
Practice address
106 N. River Street
Saratoga, WY 82331
Phone
(307) 326-5566
NPI assigned
Aug 22, 2005
Last updated
May 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7428 NE
Clinical Social Worker 1041C0700X 7441-C NV
Clinical Social Worker 1041C0700X LCSW-618 WY Primary

Addresses

Primary practice location

106 N. River Street
Saratoga, WY 82331

Mailing address

PO Box 568
Saratoga, WY 82331-0568
Phone (307) 710-0503

Other identifiers 1

IdentifierTypeStateIssuer
LCSW-618OtherWYSTATE LICENSE

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
I20150930003463 WY Practitioner - Clinical Social Worker 3476861063 Practice locations: Saratoga, WY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 N River St
Saratoga, WY 82331-5212
Phone (307) 326-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7428NEMDMental Health Counselor
7441-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Jo Greenwood LCSW CurrentSince Dec 1, 2019 Accepting new patients
Mountain West Surgical Specialists LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

4003 Rawlins St
Cheyenne, WY 82001
Phone (307) 323-2679

Interoperability endpoints

  • FHIR API: https://soap.crmcwy.org/fhirproxy/api/FHIR/R4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1831181130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310568",
            "telephone_number": "307-710-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N. RIVER STREET",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "82331",
            "telephone_number": "307-326-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "MARY JO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7441-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LCSW-618",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, WY

Sources for this page

Verify at the official NPI Registry.