Active NPI
Annemarie Dubois, LCSW, L.L.C
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bozeman, MT
National Provider Identifier
1013422781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- SWP-LCSW-LIC-4591
- Legal business name
- ANNEMARIE DUBOIS, LCSW, L.L.C
- Practice address
- 1351 Stoneridge Dr Ste D
Bozeman, MT 59718-7079 - Phone
- (802) 999-4559
- NPI assigned
- Dec 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annemarie Dubois, LCSW
- Title
- Therapist
- Phone
- (802) 999-4559
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | SWP-LCSW-LIC-4591 | MT | Primary |
| Adult Mental Health Clinic/Center | 261QM0850X | SWP-LCSW-LIC-4591 | MT | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | SWP-LCSW-LIC-4591 | MT |
Addresses
Primary practice location
1351 Stoneridge Dr Ste D
Bozeman, MT 59718-7079
Mailing address
PO Box 4193
Bozeman, MT 59772-4193
Phone (802) 999-4559
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bozeman, MT
- NPI 1376862169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512345600000",
"number": "1013422781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4193",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597724193",
"telephone_number": "802-999-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 STONERIDGE DR STE D",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187079",
"telephone_number": "802-999-4559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNEMARIE DUBOIS, LCSW, L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-04",
"last_updated": "2017-12-04",
"status": "A",
"authorized_official_last_name": "DUBOIS",
"authorized_official_first_name": "ANNEMARIE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "802-999-4559",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MT",
"license": "SWP-LCSW-LIC-4591",
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MT",
"license": "SWP-LCSW-LIC-4591",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MT",
"license": "SWP-LCSW-LIC-4591",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.