Healthcare Provider Details

I. General information

NPI: 1124230354
Provider Name (Legal Business Name): LYNETTE HUGHES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 COLLEGE DR
ROCK SPRINGS WY
82901-5863
US

IV. Provider business mailing address

1004 WINDRIVER DR
ROCK SPRINGS WY
82901-4433
US

V. Phone/Fax

Practice location:
  • Phone: 307-352-6677
  • Fax: 307-352-6614
Mailing address:
  • Phone: 307-221-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1383
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-997
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: