Individual provider · Type 1 NPI

Juan Jose Hernandez-Codallos

Clinical Social Worker · Laramie, WY

NPI number 1740613306 Active

Practice location

615 Roger Canyon Rd
Laramie, WY 82072-8902

Call (209) 918-8761 Map

Mailing address

PO Box 1733
Laramie, WY 82073-1733

Other practice locations

  • 1263 N 15th St, Laramie, WY 82072 · (307) 745-8915
  • 1263 N 15th St, Laramie, WY 82072 · (307) 745-8915

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X92529 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1740613306

Juan Jose Hernandez-Codallos's National Provider Identifier is 1740613306, issued on Aug 17, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laramie, WY. The record was last updated on Jul 31, 2023.