Individual
GRACE NIEMITALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
142 N KIMBALL ST, CASPER, WY 82601-2028
(307) 660-9400
Mailing address
142 N KIMBALL ST, CASPER, WY 82601-2028
(307) 333-5370
(307) 333-5371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1491
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/08/2021
Last updated
07/10/2025
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