Healthcare Provider Details

I. General information

NPI: 1780509927
Provider Name (Legal Business Name): HANA J LERWICK PCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 DUNN AVE
CHEYENNE WY
82001-3214
US

IV. Provider business mailing address

PO BOX 2072
CHEYENNE WY
82003-2072
US

V. Phone/Fax

Practice location:
  • Phone: 307-996-7320
  • Fax: 307-316-8640
Mailing address:
  • Phone: 307-996-7320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPCSW-1198
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: