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Teresa J Jacobs Castano

Social Worker

Behavioral Health & Social Service Providers

502 S 4th St, Laramie, WY 82070-3704

PECOS Enrollment

This provider is enrolled in PECOS as TERESA JACOBS CASTANO.

Based on the most recent information from CMS, provider Teresa J Jacobs Castano is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:54 AM.

Profile Details

Provider ID
1821215286
Provider Type
Individual
Full Name
Jacobs Castano, Teresa J
Credential
LCSW LAT

Gender
Female
Sole Proprietor
No
Enumeration Date
4/19/2007
Last Updated
3/21/2019

Contact Information

Practice Location

502 S 4th St, Laramie, WY 82070-3704

(307) 755-1000

(307) 742-9717

Mailing Location

502 S 4th St, Laramie, WY 82070-3704

(307) 755-1000

(307) 742-9717

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 176 Wyoming

Teresa J Jacobs Castano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

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