Individual provider Active NPI

Eden Guthrie Atwood

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1003365826
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-18824 Issued in MT
Practice address
540 N Davis St
Helena, MT 59601-3707
Phone
(406) 370-1789
NPI assigned
Sep 22, 2016
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022232 IL
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-18824 MT Primary

Addresses

Primary practice location

540 N Davis St
Helena, MT 59601-3707

Mailing address

540 N Davis St
Helena, MT 59601-3707
Phone (406) 370-1789

Other practice location 1

506 W Pecan St
Carbondale, IL 62901-1438
Phone (406) 370-1789

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
I20161128002016 MT Practitioner - Clinical Social Worker 4486933959 Reassigns benefits to 1 organization
Practice locations: Helena, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2475 Broadway
Helena, MT 59601-4928

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 457-4180

3330 Ptarmigan LN
Helena, MT 59602-0521
Phone (406) 457-4180

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.022232ILMDClinical Social Worker
BBH-LCSW-LIC-18824MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health CurrentSince Mar 20, 2023 Accepting new patients
St. Peter's Health CurrentSince Mar 20, 2023 Accepting new patients
St Peter's Health Current Accepting new patients

Locations

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

3330 Ptarmigan Ln
Helena, MT 59602
Phone (406) 442-3570

Organizations & group practices 3

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1003365826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N DAVIS ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013707",
            "telephone_number": "406-370-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N DAVIS ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013707",
            "telephone_number": "406-370-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 W Pecan St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011438",
            "country_code": "US",
            "telephone_number": "406-370-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "EDEN",
        "middle_name": "GUTHRIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022232",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-18824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.