Active NPI
Jennifer Nichole Tuttle, LCSW
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1003405770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 48124
- Practice address
- 155 N California St Apt 407
Missoula, MT 59801-1764 - Phone
- (919) 395-2269
- NPI assigned
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 48124 | MT | Primary |
Addresses
Primary practice location
155 N California St Apt 407
Missoula, MT 59801-1764
Mailing address
155 N California St Apt 407
Missoula, MT 59801-1764
Phone (919) 395-2269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48124 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Sunflower Counseling, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Missoula, MT
- NPI 1114516135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1003405770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N CALIFORNIA ST APT 407",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011764",
"telephone_number": "919-395-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N CALIFORNIA ST APT 407",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011764",
"telephone_number": "919-395-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "JENNIFER",
"middle_name": "NICHOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "48124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.