Individual
RYAN HIRSCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
831 HIGHWAY 150 S, EVANSTON, WY 82930-3800
(307) 444-0711
Mailing address
632 GAGE AVE, EVANSTON, WY 82930-5149
(307) 444-0711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1760
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055266
MEDICARE PIN
UT
01
—
260022408
RAILROAD MEDICARE
UT
05
—
8760003008007
—
UT
Enumeration date
09/04/2019
Last updated
12/16/2025
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