IndividualActive
Lisa Jackson-Eldridge, MSW
NPI 1255949525 · Social Worker · Gillette, WY
Provider details
- NPI number
- 1255949525
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
501 S Burma Ave
Gillette, WY 82716-3426
Phone: (307) 688-5029
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3011
Gillette, WY 82717-3011
Registry dates
- Enumerated
- 2020-07-22
- Last updated
- 2020-07-22
- Certified
- 2020-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.