Individual provider Active NPI

Jennifer L Simpson, MSW LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1992038392
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
739 Issued in WY
Practice address
821 W Pershing Blvd
Cheyenne, WY 82001-2537
Phone
(307) 421-9329
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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 739 WY Primary

Addresses

Primary practice location

821 W Pershing Blvd
Cheyenne, WY 82001-2537

Mailing address

821 W Pershing Blvd
Cheyenne, WY 82001-2537
Phone (307) 421-9329

Other identifiers 1

IdentifierTypeStateIssuer
106079100MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BestNotes.com Other

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
739WYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1992038392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W PERSHING BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012537",
            "telephone_number": "307-421-9329",
            "fax_number": "307-635-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W PERSHING BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012537",
            "telephone_number": "307-421-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106079100",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BestNotes.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "electronic health record",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "821 W Pershing Blvd",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820012537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.