Healthcare Provider Details

I. General information

NPI: 1114352945
Provider Name (Legal Business Name): LORRAINE MAY STEPPE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2013
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 PINE ST
BUFFALO WY
82834-2332
US

IV. Provider business mailing address

175 PINE ST
BUFFALO WY
82834-2332
US

V. Phone/Fax

Practice location:
  • Phone: 307-684-5828
  • Fax: 307-684-5803
Mailing address:
  • Phone: 307-684-5828
  • Fax: 307-684-5803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number886
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: