COLLIN O. MCCLOY (LCSW) – Clinical Social Worker, NPI 1093070740

COLLIN O. MCCLOY (LCSW) is a healthcare provider. based in Gillette, Wyoming. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 455 (WY). The NPI Number for COLLIN O. MCCLOY (LCSW) is 1093070740

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
COLLIN O. MCCLOY (LCSW)
NPI
1093070740
Phone
(307) 688-5000
Address
501 S BURMA AVE
Enumeration Date
9 July 2012
Last Update Date
12 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076883636
Graduation Year
1999 (27 years ago)
PAC ID
4880821107
Group Practice PAC ID
2860392529
Professional Enrollment ID
I20131212000851
Address ID
WY827163426GI501XXAVEX402

Contacts

Secure Messaging
cchwyo@cchwyo.sdhealthlink.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

227 CLINICAL SOCIAL WORKER in WY

Provider Addresses for COLLIN O. MCCLOY (LCSW)

  • 501 S BURMA AVE

    GILLETTE, WY 827163426

    Phone: (307) 688-5000

    Fax: (307) 688-5015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131212000851IClinical Social WorkerWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour5813$0
View full utilization report →

Insurance plans in this area (ZIP 82716)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860392529View full group profile
NameSpecialtyState
Radiation OncologyIL
-WY
Internal MedicineIL
Emergency MedicineND
-WY
-WY
Orthopedic SurgeryWY
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY
Pediatric MedicineWY

Reviews

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Frequently asked questions

Is COLLIN O. MCCLOY (LCSW) listed with a National Provider Identifier?
Yes — COLLIN O. MCCLOY (LCSW) has NPI 1093070740 on file in the registry.
Is there an active status for COLLIN O. MCCLOY (LCSW)?
For scheduling context, COLLIN O. MCCLOY (LCSW) is shown as active in the registry.
What clinical focus is listed for COLLIN O. MCCLOY (LCSW)?
At a glance, COLLIN O. MCCLOY (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is COLLIN O. MCCLOY (LCSW) located near Gillette?
COLLIN O. MCCLOY (LCSW) currently maps to Gillette, Wyoming in this extract.
Does COLLIN O. MCCLOY (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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