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KELLIE J JENSEN
NPI 1023362035
Social Worker - Clinical in Buffalo, WY

Active since October 30, 2012
729 FORT ST, BUFFALO, WY 82834(307) 217-1311(307) 684-2182 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie J Jensen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE J JENSEN (NPI 1023362035) is a healthcare organization registered as a clinical in Buffalo, Wyoming and active in the NPI registry since October 2012. The organization lists Kellie J Jensen, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1023362035
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKELLIE J JENSEN
Location Address729 FORT STBuffalo, WY 82834-2316
Mailing Address729 Fort StBuffalo, WY 82834-2316 · (307) 217-1311 · Fax (307) 684-2182
Phone(307) 217-1311
Fax(307) 684-2182
Organization SubpartNo
Authorized OfficialKellie J JensenLicensed Clinical Social Worker · (307) 217-1311
Enumeration DateOctober 30, 2012
✔ NPI 1023362035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WY · 661
Definition
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.
729 FORT ST, Buffalo, WY 82834
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLIE JO JENSEN LCSW
Social Worker (Clinical)
729 FORT ST
BUFFALO, WY 82834
Johnson County (307) 217-1311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie J Jensen's NPI number?

The NPI number for Kellie J Jensen is 1023362035. It was assigned to this organization in the NPPES registry on October 30, 2012.

Where is Kellie J Jensen located?

Kellie J Jensen is located at 729 Fort St, Buffalo, WY 82834. The listed phone number is (307) 217-1311.

What is Kellie J Jensen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kellie J Jensen was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.