PHILLIP EDWARD ARCHIBALD (NPI# 1396103487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396103487 |
| Entity Type | Individual |
| Full Name | PHILLIP EDWARD ARCHIBALD |
| Credential | LCSW |
| Practice Address |
121 S 4th St Thermopolis WY 82443-2634 |
| Practice Telephone | 3078643138 |
| Practice Fax Number | 3078643139 |
| Mailing Telephone | 3078643138 |
| Mailing Fax Number | 3078643139 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-1081 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 143715100 | 05 |
| Street Address |
121 S 4TH ST |
| City | THERMOPOLIS |
| State | WY |
| Zip Code | 82443-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155339 | Chellidy Simpson | Peer Specialist | 121 S 4th St, Thermopolis, WY 82443-2634 | 2019-10-08 |
| 1699212670 | Jenny Davis | Counselor | 121 S 4th St, Thermopolis, WY 82443-2634 | 2017-01-27 |
| 1508259581 | Marneta Welborn | Counselor | 121 S 4th St, Thermopolis, WY 82443-2634 | 2015-03-14 |
| 1477973931 | Tina Mcginty | Community Health Worker | 121 S 4th St, Thermopolis, WY 82443-2634 | 2014-04-23 |
| 1679813554 | Joseph B. Stringer | Counselor | 121 S 4th St, Thermopolis, WY 82443 | 2013-02-28 |
| 1073860870 | Jacqueline A Schwalbe | Case Manager/Care Coordinator | 121 S 4th St, Thermopolis, WY 82443-2634 | 2012-08-10 |
| 1033464557 | Kevin Bentch | Counselor | 121 S 4th St, Thermopolis, WY 82443-2634 | 2012-07-20 |
| 1841559192 | Paula Jean Shankle | Counselor | 121 S 4th St, Thermopolis, WY 82443-2634 | 2012-05-07 |
| 1033487939 | Becky Martinez | Community Health Worker | 121 S 4th St, Thermopolis, WY 82443-2634 | 2011-12-06 |
| 1629346515 | Mary Jane Norskog | Community Health Worker | 121 S 4th St, Thermopolis, WY 82443-2634 | 2011-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992938419 | Garry Freel | Case Manager/Care Coordinator | 844 Richards St., Thermopolis, WY 82443 | 2009-09-01 |
| 1467600783 | Jantina Anna Manning | Speech-Language Pathologist | 130 Highway 20 South, Thermopolis, WY 82443 | 2008-08-28 |
| 1982882924 | Glenn E Bishop | Chiropractor | 526 Big Horn, Thermopolis, WY 82443 | 2008-02-01 |
| 1801080874 | Karen April Leyba | Speech-Language Pathologist | 1025 Shoshoni Rd, Thermopolis, WY 82443 | 2007-08-31 |
| 1043403199 | Marcia Ann Nelson | Occupational Therapist | 1025 Shoshoni, Childrens Resource Center, Thermopolis, WY 82443 | 2007-08-22 |
| 1639217144 | Northwest Wyoming Boces | Residential Treatment Facility, Emotionally Disturbed Children | 250 East Arapahoe Street, Thermopolis, WY 82443 | 2007-02-05 |
| 1144368366 | Guy C Drake | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2007-02-01 |
| 1245719475 | Mitchell F Volin | Physician Assistant | 120 N C Ave, Thermopolis, WY 82443 | 2018-08-08 |
| 1639586571 | Mary Margaret Brown | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2014-07-11 |
| 1982932265 | Paintbrush Dental, PC | Clinic/Center | 110 E Arapahoe St, Thermopolis, WY 82443 | 2009-11-25 |
| Find all providers in zip 82443 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316274467 | Tonja L Casciato | Social Worker | 640 Fremont St, Thermopolis, WY 82443-2915 | 2009-11-11 |
| 1730392341 | Violet M Goodwine | Social Worker | 121 S 4th St, Thermopolis, WY 82443-2634 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594492 | Tiffany Palmer | Social Worker | 1010 E 1st St Ste A, Casper, WY 82601-2753 | 2020-10-06 |
| 1164034492 | Skyline Mental Health Services LLC | Social Worker | 1471 Dewar Dr Ste 232, Rock Springs, WY 82901-5885 | 2020-08-18 |
| 1619506797 | Olivia Gerrish | Social Worker | 1642 Palmer Dr Apt 11, Laramie, WY 82070-8213 | 2020-04-02 |
| 1982244851 | Edwin James Heimer | Social Worker | 11 Bartlett Ln, Cody, WY 82414-8861 | 2020-01-08 |
| 1154961019 | Marilyn Sue Dymond Wagner | Social Worker | 777 Overland Trl Ste 10582601, Casper, WY 82601-1318 | 2020-01-08 |
| 1679118160 | Stephan Badgett | Social Worker | 383 N Main St, Thayne, WY 83127 | 2019-11-08 |
| 1609410547 | Kirbie L Brown | Social Worker | 6610 Wilderness Trl, Cheyenne, WY 82001-6180 | 2019-11-04 |
| 1609417088 | Valley Counseling & Coaching LLC | Social Worker | 109 S. Main St. Suite D, Lyman, WY 82937 | 2019-10-07 |
| 1114576618 | Bonnie Jean Hede | Social Worker | 1396 Mortimore Ln, Lander, WY 82520-9770 | 2019-09-06 |
| 1427600402 | Kelsi Marie Sluyter | Social Worker | 24 Country Club Ln, Pinedale, WY 82941 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
| City | THERMOPOLIS |
| Zip Code | 82443 |
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| 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.