Individual provider Active NPI

Kobi Schaff, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1003362757
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-18702 Issued in MT
Practice address
21 N Last Chance Gulch
Helena, MT 59601-4137
Phone
(406) 860-0660
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-18702 MT Primary

Addresses

Primary practice location

21 N Last Chance Gulch
Helena, MT 59601-4137

Mailing address

PO Box 1406
Helena, MT 59624-1406
Phone (406) 860-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170113000824 MT Practitioner - Clinical Social Worker 2163703265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-18702MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Soul Elements LLC Clinical CurrentSince Nov 5, 2016 Accepting new patients

Locations

21 N Last Chance Gulch
Ste 107
Helena, MT 59601
Phone (406) 860-0660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1003362757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596241406",
            "telephone_number": "406-860-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014137",
            "telephone_number": "406-860-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFF",
        "first_name": "KOBI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-18702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.