Individual provider Active NPI

Theresa George

  • Clinical Social Worker
  • Cody, WY
National Provider Identifier
1881366912
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1912 Issued in WY
Practice address
2538 Big Horn Ave
Cody, WY 82414-9299
Phone
(307) 587-2197
NPI assigned
Sep 28, 2021
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-1912 WY Primary
Specialist 174400000X

Addresses

Primary practice location

2538 Big Horn Ave
Cody, WY 82414-9299

Mailing address

2538 Big Horn Ave
Cody, WY 82414-9299
Phone (307) 347-6165

Other practice location 1

116 S 3rd St
Basin, WY 82410-0000
Phone (307) 568-2020

Other practice location 2

1114 Lane 12
Lovell, WY 82431-9555
Phone (307) 548-6543

Other practice location 3

627 Wyoming Ave
Powell, WY 82435-2523
Phone (307) 754-5687

Other practice location 4

401 S 23rd St
Worland, WY 82401-3725
Phone (307) 347-6165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2538 Big Horn Ave
Cody, WY 82414-9299

401 S 23Rd St
Worland, WY 82401-3725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Peak Counseling Center CurrentSince Jul 21, 2026 Accepting new patients
Cloud Peak Counseling Center CurrentSince Jul 21, 2026 Accepting new patients

Locations

2538 Big Horn Ave
Cody, WY 82414
Phone (307) 587-2197

1114 Lane 12
Lovell, WY 82431
Phone (307) 548-6543

401 S 23rd St
Worland, WY 82401
Phone (307) 347-6165

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1881366912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 BIG HORN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149299",
            "telephone_number": "307-347-6165",
            "fax_number": "307-620-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 BIG HORN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149299",
            "telephone_number": "307-587-2197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Basin",
            "state": "WY",
            "postal_code": "824100000",
            "country_code": "US",
            "telephone_number": "307-568-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1114 Lane 12",
            "address_purpose": "LOCATION",
            "city": "Lovell",
            "state": "WY",
            "postal_code": "824319555",
            "country_code": "US",
            "telephone_number": "307-548-6543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "627 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824352523",
            "country_code": "US",
            "telephone_number": "307-754-5687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S 23rd St",
            "address_purpose": "LOCATION",
            "city": "Worland",
            "state": "WY",
            "postal_code": "824013725",
            "country_code": "US",
            "telephone_number": "307-347-6165",
            "fax_number": "307-620-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1912",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.