Individual provider Active NPI

Larae Sue Stibitz, MSW, LCSW

  • Clinical Social Worker
  • Laramie, WY
National Provider Identifier
1982009809
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1055 Issued in WY
Practice address
121 E Grand Ave Ste 216
Laramie, WY 82070-3600
Phone
(307) 200-9421
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1055 WY Primary

Addresses

Primary practice location

121 E Grand Ave Ste 216
Laramie, WY 82070-3600

Mailing address

121 E Grand Ave Ste 216
Laramie, WY 82070-3600
Phone (307) 200-9421

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
I20170911000038 WY Practitioner - Clinical Social Worker 4486927647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1055WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Way Counseling & Consulting, LLC CurrentSince Aug 4, 2017 Accepting new patients

Locations

121 E Grand Ave
Ste 216
Laramie, WY 82070
Phone (307) 200-9421

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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982009809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E GRAND AVE STE 216",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703600",
            "telephone_number": "307-200-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E GRAND AVE STE 216",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703600",
            "telephone_number": "307-200-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIBITZ",
        "first_name": "LARAE",
        "middle_name": "SUE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.