Individual provider Active NPI

David B. Powell, LCSW, LAC

  • Clinical Social Worker
  • Livingston, MT
National Provider Identifier
1003905894
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
557 Issued in MT
Practice address
320 Alpenglow LN
Livingston, MT 59047-8506
Phone
(406) 222-3541
Fax
(406) 823-6434
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 680 MT
Clinical Social Worker 1041C0700X 557 MT Primary

Addresses

Primary practice location

320 Alpenglow LN
Livingston, MT 59047-8506

Mailing address

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541

Other practice location 1

1600 Ellis St Ste 1C
Bozeman, MT 59715-8837
Phone (406) 223-0886

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
680MTMDAddiction (Substance Use Disorder) Counselor
557MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare Past Accepting new patients
South Central Montana Regional Mental Health Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1003905894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-222-3541",
            "fax_number": "406-823-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-222-3541",
            "fax_number": "406-823-6434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Ellis St Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597158837",
            "country_code": "US",
            "telephone_number": "406-223-0886",
            "fax_number": "406-522-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "B.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.