LISA JACKSON-ELDRIDGE


Address: 501 S Burma Ave, Gillette, WY 82716-3426
Phone: 3076885029

LISA JACKSON-ELDRIDGE (NPI# 1255949525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255949525
Entity Type Individual
Full Name LISA JACKSON-ELDRIDGE
Credential MSW
Practice Address 501 S Burma Ave
Gillette
WY 82716-3426
Mailing Address Po Box 3011
Gillette
WY 82717-3011
Practice Telephone 3076885029
Mailing Telephone 3076885029
Enumeration Date 2020-07-22
Last Update Date 2020-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY 830234097 05

Office Location

Street Address 501 S BURMA AVE
City GILLETTE
State WY
Zip Code 82716-3426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447257720 Alan L Mitchell Radiology 501 S Burma Ave, Gillette, WY 82716-3426 2005-07-01
1730796087 Jenae Elizabeth Schoenike Nurse Practitioner 501 S Burma Ave, Gillette, WY 82716-3426 2020-09-29
1417569732 Nikole Marie Lawrence Nurse Practitioner 501 S Burma Ave, Gillette, WY 82716-3426 2020-08-18
1396354221 Nancy Dillie Registered Nurse 501 S Burma Ave, Gillette, WY 82716-3426 2020-07-27
1538777800 Devin Rae Vance Case Manager/Care Coordinator 501 S Burma Ave, Gillette, WY 82716-3426 2020-07-22
1851909295 Barry Shannon Case Manager/Care Coordinator 501 S Burma Ave, Gillette, WY 82716-3426 2020-07-22
1083222483 Derek Friedlan Social Worker 501 S Burma Ave, Gillette, WY 82716-3426 2020-07-21
1295377414 Charmaine Abigan Jaiver Registered Nurse 501 S Burma Ave, Gillette, WY 82716-3426 2019-10-09
1841844172 Daniel Bryan Rust Registered Nurse 501 S Burma Ave, Gillette, WY 82716-3426 2019-07-25
1760041560 Cody Charles Rasmussen Nurse Anesthetist, Certified Registered 501 S Burma Ave, Gillette, WY 82716-3426 2019-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053822387 Diana Lynn Ohman Dietitian, Registered 709 West Eighth Street, Suite 4, Gillette, WY 82716 2017-10-13
1821457821 Courage To Change Counseling LLC Community/Behavioral Health 113 S. Gillette Ave, Gillette, WY 82716 2016-02-18
1003290594 Kris Huber Community/Behavioral Health 905 Gurley Ave, Gillette, WY 82716 2015-07-14
1649516857 Shirley L Haley Nurse Practitioner 1304 West 4th Street, Gillette, WY 82716 2012-12-14
1174867188 Rebecca J Mader Registered Nurse 501 South Burma Ave., Gillette, WY 82716 2012-11-15
1568728228 Kerry Elizabeth Warner Registered Nurse 201 S Burma Ave, Gillette, WY 82716 2012-04-07
1720363351 Julie Ann Faldalen Licensed Practical Nurse 501 South Burma, Gillette, WY 82716 2011-10-14
1083937486 Clear Creek Counseling LLC Counselor 801 E. 4th St., Suite 24, Gillette, WY 82716 2010-03-12
1821241423 Dianna L Knox Counselor 500 S Burma Ave, Gillette, WY 82716 2008-10-28
1588826887 Scott R Hunter Chiropractor 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 2008-06-27
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497363766 Darylene L Wadsack Social Worker 501 Burma Ave., Gillette, WY 82716-8271 2020-07-22
1083222483 Derek Friedlan Social Worker 501 S Burma Ave, Gillette, WY 82716-3426 2020-07-21
1750941464 Jessica Sue Jaycox Social Worker 905 N Gurley Ave, Gillette, WY 82716-2109 2019-06-14
1851841654 Wendi Percifield Social Worker 905 N Gurley Ave, Gillette, WY 82716-2109 2016-10-05
1790041481 Kelly Peters Social Worker 501 S Burma Ave, Gillette, WY 82716-3426 2012-04-06
1992061881 Cheryl Rae King Social Worker 501 S Burma Ave, Gillette, WY 82716-3426 2012-04-05
1811139066 Susy Kraft Social Worker 501 S Burma Ave, Gillette, WY 82716-3426 2009-04-02
1578712865 Starla F Chord Social Worker 501 S Burma Ave, Ccmh 5th Floor, Gillette, WY 82716-3426 2008-09-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336763606 Mary Cecelia Knight Social Worker 3621 Warren Ave, Cheyenne, WY 82001-1452 2020-06-03
1821619412 Andrew Kenton Aldrich Social Worker 2360 E Pershing Blvd # 116, Cheyenne, WY 82001-5356 2020-05-05
1871059667 Michael Scott Seeley Social Worker 97 N Lobban Ave Lot 3, Buffalo, WY 82834-1933 2019-02-16
1982172813 Ashley Nicole Krug Social Worker 5400 Skyline Dr, Cheyenne, WY 82009-3105 2018-11-08
1225534050 Stephanie Wendling Social Worker 143 S Summit St., Casper, WY 82601 2018-04-02
1144734005 Jennifer Ann Schumacher Social Worker 656 Wagon Trl, Evansville, WY 82636 2017-11-29
1912419920 Sally E Patton Social Worker 207 South River Street, Saratoga, WY 82331 2017-10-31
1508391251 Lindsey Tempest Social Worker 2828 E 6th St, Casper, WY 82609-2626 2017-05-01
1811438039 Bailey Riegel Social Worker 1607 Capitol Ave, The Second Floor, Cheyenne, WY 82001-4525 2017-03-20
1275073074 Kara Dunham Social Worker 4020 Gannett St Apt 6, Casper, WY 82609-2351 2017-02-28
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Competitor

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City GILLETTE
Zip Code 82716

Improve Information

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Dataset Information

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.

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