Individual provider Active NPI

Rebecca Marie McMurray, PCSW

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1841869732
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PCSW-968 Issued in WY
Practice address
6201 Desperado Dr
Casper, WY 82601-7131
Phone
(307) 247-3901
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PCSW-968 WY Primary

Addresses

Primary practice location

6201 Desperado Dr
Casper, WY 82601-7131

Mailing address

PO Box 50164
Casper, WY 82605-0164
Phone (307) 247-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240223003740 WY Practitioner - Clinical Social Worker 9739524281 Reassigns benefits to 1 organization
I20250124002874 MT Practitioner - Clinical Social Worker 9739524281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centric Physicians Intermountain Region, PLLCGroup PAC ID 2466880851, 10 clinicians

Practice addresses (Care Compare)

200 N Oregon St
Suite 3624
Dillon, MT 59725-3624
Phone (877) 541-0665

4305 S Poplar St
Casper, WY 82601-6106
Phone (830) 267-4575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCSW-968WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coe Medical Intermountain PLLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

200 N Oregon St
Ste 3624
Dillon, MT 59725

200 N Oregon St
#3624
Dillon, MT 59725
Phone (406) 683-5105

4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444

4305 S Poplar St
Casper, WY 82601
Phone (307) 237-2561

Organizations & group practices 1

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1841869732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50164",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826050164",
            "telephone_number": "307-247-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 DESPERADO DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826017131",
            "telephone_number": "307-247-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "PCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.