1. Home
  2. Directory
  3. Wyoming
  4. Jackson
  5. Social Worker
  6. NPI Profile

ELIZABETH KOUTRELAKOS
NPI 1154986958
Social Worker - Clinical in Jackson, WY

Active since May 07, 2019
320 E BROADWAY AVE, JACKSON, WY 83001(307) 200-9882 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2019, Sep 6, 2019, May 7, 2019 (3 updates tracked since 2019).

About Elizabeth Koutrelakos NPPES

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

ELIZABETH KOUTRELAKOS (NPI 1154986958) is an individual clinical provider in Jackson, Wyoming, licensed in Wyoming (LCSW-1192) and active in the NPI registry since May 2019. She maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1154986958
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH KOUTRELAKOS
Location Address320 E BROADWAY AVEJackson, WY 83001
Mailing Address755 E Nez Perce RdJackson, WY 83001-9382 · (307) 200-9882
Phone(307) 200-9882
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateSeptember 11, 20193 updates tracked since enumeration
✔ NPI 1154986958 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 · LCSW-1192
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.
320 E BROADWAY AVE, Jackson, WY 83001
Open in Google Maps ↗

Secondary Practice Location 1

Location 1320 E Broadway AveJackson, WY 83001 · Phone (307) 200-9882

Accepted Insurance

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

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 Elizabeth Koutrelakos's NPI number?

The NPI number for Elizabeth Koutrelakos is 1154986958. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Elizabeth Koutrelakos located?

Elizabeth Koutrelakos practices at 320 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 200-9882.

What is Elizabeth Koutrelakos's specialty?

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

What insurance does Elizabeth Koutrelakos accept?

Health plans from Blue Cross Blue Shield of Wyoming list Elizabeth Koutrelakos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Koutrelakos was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.