Individual provider Active NPI

Robert Loomis, LCSW

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1013618628
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-62563 Issued in MT
Practice address
724 1St Ave S
Great Falls, MT 59401-3702
Phone
(406) 315-4800
NPI assigned
Mar 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-62563 MT Primary

Addresses

Primary practice location

724 1St Ave S
Great Falls, MT 59401-3702

Mailing address

724 1St Ave S
Great Falls, MT 59401-3702
Phone (406) 315-4800

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
I20260507000966 MT Practitioner - Clinical Social Worker 3779939822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Front Counseling Services, LLCGroup PAC ID 5991238784, 2 clinicians

Practice addresses (Care Compare)

724 1St Ave S
Great Falls, MT 59401-3702
Phone (406) 315-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-62563MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Front Counseling Services, LLC CurrentSince Mar 19, 2023 Accepting new patients

Locations

724 1st Ave S
Great Falls, MT 59401
Phone (406) 315-4800

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1013618628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013702",
            "telephone_number": "406-315-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013702",
            "telephone_number": "406-315-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-62563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.