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JUAN JOSE HERNANDEZ-CODALLOS
NPI 1740613306
Social Worker - Clinical in Laramie, WY

Active since August 17, 2013
615 ROGER CANYON RD, LARAMIE, WY 82072(209) 918-8761 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2019, Mar 12, 2019, Jan 9, 2017 and 1 more (4 updates tracked since 2016).

About Juan Jose Hernandez-codallos NPPES

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

JUAN JOSE HERNANDEZ-CODALLOS (NPI 1740613306) is an individual clinical provider in Laramie, Wyoming, licensed in California (92529) and active in the NPI registry since August 2013. He maintains a secondary practice location in Laramie.

NPPES Registry Identity

NPI1740613306
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUAN JOSE HERNANDEZ-CODALLOS
Location Address615 ROGER CANYON RDLaramie, WY 82072-8902
Mailing AddressPo Box 1733Laramie, WY 82073-1733
Phone(209) 918-8761
Sole ProprietorNo
Enumeration DateAugust 17, 2013
Last NPPES UpdateJuly 31, 20234 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
✔ NPI 1740613306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 92529
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
615 ROGER CANYON RD, Laramie, WY 82072
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Secondary Practice Location 1

Location 11263 N 15th StLaramie, WY 82072 · Phone (307) 745-8915

Other Providers at the Same Location NPPES

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

KYM FRANCES CODALLOS MSW,ACSW,LCSW,CPRP
Social Worker (Clinical)
615 ROGER CANYON RD
LARAMIE, WY 82072
Albany County (209) 247-3686

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 Juan Hernandez-codallos's NPI number?

The NPI number for Juan Hernandez-codallos is 1740613306. It was assigned to this individual provider in the NPPES registry on August 17, 2013.

Where is Juan Hernandez-codallos located?

Juan Hernandez-codallos practices at 615 Roger Canyon Rd, Laramie, WY 82072. The listed phone number is (209) 918-8761.

What is Juan Hernandez-codallos'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 Juan Hernandez-codallos was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.