Active NPI
Desiree Lynn Wann, MSW, LCSW
- Clinical Social Worker
- Cheyenne, WY
National Provider Identifier
1952772097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-1093
- Practice address
- 2526 Seymour Ave
Cheyenne, WY 82001-3159 - Phone
- (307) 634-9653
- Fax
- (307) 638-8256
- NPI assigned
- Oct 15, 2015
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-1093 | WY | Primary |
Addresses
Primary practice location
2526 Seymour Ave
Cheyenne, WY 82001-3159
Mailing address
2526 Seymour Ave
Cheyenne, WY 82001-3159
Phone (307) 634-9653
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180301001619 | WY | Practitioner - Clinical Social Worker | 3870854177 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Volunteers of America Northern Rockies
Practice addresses (Care Compare)
2526 Seymour Ave
Cheyenne, WY 82001-3159
Phone (307) 634-9653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-1093 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Northern Rockies | Current | Accepting new patients | |
| Volunteers of America Northern Rockies | Current | Accepting new patients | |
| Volunteers of America Northern Rockies | Current | Accepting new patients |
Locations
2526 Seymour Ave
Cheyenne, WY 82001
Phone (307) 634-9653
510 W 29th St
Cheyenne, WY 82001
Phone (307) 426-4728
1263 N 15th St
Laramie, WY 82072
Phone (307) 745-8915
Organizations & group practices 3
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.
-
- Substance Abuse Rehabilitation Facility
- Sheridan, WY
- NPI 1689249682
WY
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sundance, WY
- NPI 1558415927
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Cheyenne, WY
- NPI 1851421457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1952772097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2526 SEYMOUR AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013159",
"telephone_number": "307-634-9653",
"fax_number": "307-638-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 SEYMOUR AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013159",
"telephone_number": "307-634-9653",
"fax_number": "307-638-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANN",
"first_name": "DESIREE",
"middle_name": "LYNN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-1093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.