OrganizationKimberly Maffei Lcsw, LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2020 E Grand Ave Ste 409, Laramie, WY 82070-4383(307) 399-0435PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Maffei Lcsw, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1124771910Provider TypeOrganizationFull NameKimberly Maffei Lcsw, LlcSubpartNoEnumeration Date2/1/2022Last Updated2/1/2022Contact InformationPractice LocationPractice Address2020 E Grand Ave Ste 409, Laramie, WY 82070-4383Phone(307) 399-0435FaxUnlisted FaxMailing LocationMailing Address911 Sanders Dr, Laramie, WY 82070-4650Phone(307) 399-0435FaxUnlisted FaxAuthorized OfficialNameMaffei, Kimberly (Mental Health Therapist)Phone(307) 399-0435Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID139989600DescriptionMedicaidIssuerUnlistedWyomingID212102600DescriptionMedicaidIssuerUnlistedWyoming