KRYSTEN KECK (NPI# 1902136955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902136955 |
| Entity Type | Individual |
| Full Name | KRYSTEN KECK |
| Credential | MSW |
| Practice Address |
2508 E Fox Farm Rd Ste 1a Cheyenne WY 82007-2559 |
| Mailing Address |
2526 Seymour Ave Cheyenne WY 82001-3159 |
| Practice Telephone | 3076349653 |
| Practice Fax Number | 3076388256 |
| Mailing Telephone | 3076349653 |
| Mailing Fax Number | 3076388256 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
393 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106079100 | 05 |
| Street Address |
2508 E FOX FARM RD STE 1A |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82007-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003287350 | Ashley Zee Cassel | Pharmacist | 2508 E Fox Farm Rd, Cheyenne, WY 82007-2559 | 2015-10-13 |
| 1043687395 | Patrick Fitzgerald | Nurse Practitioner | 2508 E Fox Farm Rd, Cheyenne, WY 82007-2559 | 2015-08-21 |
| 1699184739 | Healthworks | Clinic/Center | 2508 E Fox Farm Rd, 1-1a, Cheyenne, WY 82007-2559 | 2014-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788102 | Melanie Ann Traas | Speech-Language Pathologist | 236 Parsley Blvd, Cheyenne, WY 82007 | 2017-09-05 |
| 1083135701 | Courtney Jo Tatum | Case Manager/Care Coordinator | 209 Stanfield Ave, Cheyenne, WY 82007 | 2017-07-03 |
| 1679838056 | Ryan Wayne Ackerman | Counselor | 117 West 9th Street, Cheyenne, WY 82007 | 2012-07-11 |
| 1992932420 | Libby Jane Phillips | Pharmacist | 700 S. Greeley Hwy, Cheyenne, WY 82007 | 2009-06-11 |
| 1043382336 | Dale C Brentlinger | Internal Medicine | 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 | 2006-11-14 |
| 1841273901 | Ryan C Benne | Chiropractor | 2809 Evans Ave, Cheyenne, WY 82007 | 2005-11-22 |
| 1386632594 | Cheyenne Health & Wellness Center | Clinic/Center | 2508 East Fox Farm Road, Suite 1a, Cheyenne, WY 82007 | 2005-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1811030554 | Stride Learning Center | Clinic/Center | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2007-02-14 |
| 1568006443 | Audrey Marie Saling | Occupational Therapist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-11-04 |
| Find all providers in zip 82007 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410547 | Kirbie L Brown | Social Worker | 6610 Wilderness Trl, Cheyenne, WY 82001-6180 | 2019-11-04 |
| 1588138648 | Cheyenne Counseling, LLC | Social Worker | 2315 Dunn Ave Ste 6, Cheyenne, WY 82001-3214 | 2019-01-11 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1174015473 | Julia L Torres | Social Worker | 1603 Capitol Ave Ste 508, Cheyenne, WY 82001-4563 | 2018-06-01 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| 1588107379 | Laura Powell-rousey | Social Worker | 821 E Pershing Blvd, Cheyenne, WY 82001 | 2016-11-28 |
| 1487109989 | Regina Dodson | Social Worker | 611 Broken Wheel Ct, Cheyenne, WY 82007-1673 | 2016-08-25 |
| 1609226331 | David Hand | Social Worker | 3032 Forest Dr, Cheyenne, WY 82001-5518 | 2016-06-14 |
| 1982051579 | Forrest Lien | Social Worker | 2232 Dell Range Blvd Ste 324, Cheyenne, WY 82009-4941 | 2016-05-24 |
| Find all providers in CHEYENNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.