NPI 1003100181

Matthew Ty Barrus, LCSW

Practitioner Clinical Social Worker Powell, WY

Practice location

Address: 1106 Julie Ln, Powell, WY 82435-1632
Phone: (307) 271-7460
Mailing address: 862 Risen Son Rd, Powell, WY 82435-8473

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-582 (WY)

Other Social Worker providers in Wyoming →

Registry record

NPI: 1003100181
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2011
Record last updated: 6 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.