Stephanie Kiser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-773 Issued in WY

Practice address

510 S Cache St
Jackson, WY 83001-8693

Phone

(307) 733-7946

Fax

(307) 733-3417

NPI assigned

Jun 9, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 27, 2023 through Jan 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Teton Wellness Affiliates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, WY
  • NPI 1407480890
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1871974402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S CACHE ST",
            "address_2": "P.O. BOX 2631",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018693",
            "telephone_number": "307-733-7946",
            "fax_number": "307-733-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S CACHE ST",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018693",
            "telephone_number": "307-733-7946",
            "fax_number": "307-733-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Kibbler, CHWC
• Kilter Physical Therapy and Sport Performance LLC
• Mindy Kim-Miller, MD, PHD
• Elizabeth Kingwill, M.A. L.P.C.
• Nancy Anne Kirkwood
• Christina Moran Kitchen, FNP
• Jayme Kizer, PT, DPT
• Stephanie Wallace Kladianos, NP
• Karin L Klee, MD
• Sarah M Kline, LPC

• Clinical Social Worker in Jackson, WY
• Providers in Jackson, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.