Active NPI
Marianne Jones, LCSW
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1013378579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1041CO700X
- Practice address
- 1305 Wyoming St
Missoula, MT 59801-1725 - Phone
- (406) 532-9770
- Fax
- (406) 541-3034
- NPI assigned
- Mar 11, 2016
- 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 | 1041CO700X | MT | Primary |
Addresses
Primary practice location
1305 Wyoming St
Missoula, MT 59801-1725
Mailing address
3255 LT Moss Rd
Missoula, MT 59804-7220
Phone (406) 532-8426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13782369 | Other | MT | CAQH |
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 |
|---|---|---|---|
| 1041CO700X | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1013378579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 LT MOSS RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047220",
"telephone_number": "406-532-8426",
"fax_number": "406-543-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 WYOMING ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011725",
"telephone_number": "406-532-9770",
"fax_number": "406-541-3034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARIANNE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-11",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "1041CO700X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13782369",
"state": "MT"
}
],
"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 Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.