Wild Fire Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILD FIRE PSYCHOTHERAPY

Practice address

321 E Main St Ste 417F
Bozeman, MT 59715-6241

Phone

(406) 599-0175

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Carlynn SchwalmNPI 1023849270

Title

Officer

Phone

(406) 599-0175

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlynn Schwalm

  • Clinical Social Worker
  • Bozeman, MT
  • NPI 1023849270
  NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1043030653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 THORPE RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189770",
            "telephone_number": "406-599-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST STE 417F",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156241",
            "telephone_number": "406-599-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD FIRE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "SCHWALM",
        "authorized_official_first_name": "CARLYNN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "406-599-0175"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan G Whittinghill, PAC
• Ross Patrick Wiedemann, MD
• Clara Leanne Wiederholt
• Suzanne Wilbrecht, MSN
• Kellye Pepper Wilcheck, OT
• James Bryce Wiley, PAC
• Loni Lynn Wiley, M.S, ATC
• Kerri Wilkins, CF-SLP
• Janelle P Wilkinson
• Andrew Michael Wilkis, M.D.

• Clinical Social Worker in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.