Individual provider · Type 1 NPI

Tristan Thomas Sandoval-Johnson, MSW, PCSW

Clinical Social Worker · Laramie, WY

NPI number 1801689054 Active

Practice location

1263 N 15th St
Laramie, WY 82072-2343

Call (307) 745-8915 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPCSW-1290 (WY)
Case Manager/Care Coordinator 171M00000XNone listed

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 1801689054

Tristan Thomas Sandoval-Johnson, MSW, PCSW's National Provider Identifier is 1801689054, issued on May 28, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laramie, WY. The record was last updated on Mar 19, 2026.