Provider Demographics
NPI:1780465435
Name:LINTON, JESSIE A (BSW, MBA)
Entity type:Individual
Prefix:
First Name:JESSIE
Middle Name:A
Last Name:LINTON
Suffix:
Gender:F
Credentials:BSW, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-5617
Mailing Address - Country:US
Mailing Address - Phone:307-262-1419
Mailing Address - Fax:
Practice Address - Street 1:2320 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-5617
Practice Address - Country:US
Practice Address - Phone:307-262-1419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker