JACKSON HOLE MENTAL HEALTH LLC - NPI 1053704726

Q: What is Jackson Hole Mental Health LLC's NPI number?

The NPI number for Jackson Hole Mental Health LLC is 1053704726. It was assigned to this organization in the NPPES registry on March 5, 2015.

Q: What is Jackson Hole Mental Health LLC's specialty?

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

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About Jackson Hole Mental Health Llc NPPES

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

JACKSON HOLE MENTAL HEALTH LLC (NPI 1053704726) is a healthcare organization registered as a clinical in Jackson, Wyoming and active in the NPI registry since March 2015. The organization lists Leah C Black, Owner/executive Director, as its authorized official.

NPPES Registry Identity

NPI1053704726

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameJACKSON HOLE MENTAL HEALTH LLC

Location Address310 E BROADWAY AVEJackson, WY 83001-8636

Mailing AddressPo Box 13572Jackson, WY 83002-3572 · (307) 654-7003

Phone(307) 654-7003

Organization SubpartNo

Authorized OfficialLeah C BlackOwner/executive Director · (307) 654-7003

Enumeration DateMarch 5, 2015

Last NPPES UpdateApril 1, 2024

NPPES CertifiedApril 1, 2024

✔ NPI 1053704726 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 · 742

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.

310 E BROADWAY AVE, Jackson, WY 83001

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Other Identifiers 1

Medicaid130859900WY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 20

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

LEAH BLACK LCSW

Social Worker (Clinical)