Provider Demographics
NPI:1003311192
Name:TOOMER, KARLA MARIE (MSW, PCSW)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MARIE
Last Name:TOOMER
Suffix:
Gender:F
Credentials:MSW, PCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:COKEVILLE
Mailing Address - State:WY
Mailing Address - Zip Code:83114-0010
Mailing Address - Country:US
Mailing Address - Phone:435-881-3245
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 177
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:WY
Practice Address - Zip Code:82931-0177
Practice Address - Country:US
Practice Address - Phone:307-444-0676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
WYPCSW-12121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator