Provider Demographics
NPI:1447387816
Name:COWSER, JAMES C (LCSW, MCAP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:COWSER
Suffix:
Gender:M
Credentials:LCSW, MCAP
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:C
Other - Last Name:COWSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, MCAP
Mailing Address - Street 1:1430 WILKINS CIR
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-1336
Mailing Address - Country:US
Mailing Address - Phone:307-776-0238
Mailing Address - Fax:307-265-7277
Practice Address - Street 1:1430 WILKINS CIR
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1336
Practice Address - Country:US
Practice Address - Phone:307-776-0238
Practice Address - Fax:307-265-7277
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYCADC 0777101YA0400X
PACCDP-D 6084101YA0400X
KYLCSW 20351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)