Individual provider Active NPI

Desiree Lynn Wann, MSW, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1952772097
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1093 Issued in WY
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

Updated by the provider on Feb 9, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 RockiesGroup PAC ID 1355733015, 19 clinicians

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

LicenseStateTypeSpecialty
LCSW-1093WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Northern Rockies CurrentSince Aug 25, 2021 Accepting new patients
Volunteers of America Northern Rockies Current Accepting new patients
Volunteers of America Northern Rockies CurrentSince Aug 25, 2021 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.

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

Verify at the official NPI Registry.