Active NPI
Hannah Roberta Couldridge, BSW, CSW
- Social Worker
- Casper, WY
National Provider Identifier
1871082503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 281
- Practice address
- 500 S Wolcott St Ste 103
Casper, WY 82601-2882 - Phone
- (307) 333-5370
- Fax
- (307) 333-5371
- NPI assigned
- May 8, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 281 | WY | Primary |
Addresses
Primary practice location
500 S Wolcott St Ste 103
Casper, WY 82601-2882
Mailing address
500 S Wolcott St Ste 103
Casper, WY 82601-2882
Phone (307) 333-5370
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 |
|---|---|---|---|
| 281 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Counseling LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Casper, WY
- NPI 1346655164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1871082503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S WOLCOTT ST STE 103",
"city": "CASPER",
"state": "WY",
"postal_code": "826012882",
"telephone_number": "307-333-5370",
"fax_number": "307-333-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S WOLCOTT ST STE 103",
"city": "CASPER",
"state": "WY",
"postal_code": "826012882",
"telephone_number": "307-333-5370",
"fax_number": "307-333-5371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULDRIDGE",
"first_name": "HANNAH",
"middle_name": "ROBERTA",
"credential": "BSW, CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WY",
"license": "281",
"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 May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.