Basic Information
| Provider Information | |||||||||
| NPI: | 1548370703 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROONEY | ||||||||
| FirstName: | JUDY | ||||||||
| MiddleName: | V | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1410 S PENNSYLVANIA AVE | ||||||||
| Address2: | APT. 2 | ||||||||
| City: | CASPER | ||||||||
| State: | WY | ||||||||
| PostalCode: | 826094109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3072592849 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2521 E 15TH ST | ||||||||
| Address2: | ADULT UNIT | ||||||||
| City: | CASPER | ||||||||
| State: | WY | ||||||||
| PostalCode: | 826094126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3072377444 | ||||||||
| FaxNumber: | 3074732284 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LCSW 400 | WY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.