Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zachery Paul Samson, PCSW766

Individual provider Clinical Social Worker · NPI 1932541810

Zachery Paul Samson, PCSW766 is a Clinical Social Worker in Cheyenne, Wyoming. Practices as a sole proprietor and works from 2 locations. Licensed in Wyoming.

Licensed in
WY
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

821 W Pershing Blvd
Cheyenne, WY 82001-2537
Phone: (801) 657-1241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 Walterscheid Blvd, Cheyenne, WY 82007-2333 — (801) 657-1241

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 766 (WY)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X

Record details

NPI number1932541810
Entity typeIndividual (Type 1)
GenderMale
Credentials PCSW766
Sole proprietorYes
NPI enumeratedJuly 22, 2013
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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