Active NPI
Colleen Sheryl Enderle, LCSW
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1043719941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29705
- Practice address
- 401 Railroad St W
Missoula, MT 59802-4109 - Phone
- (406) 258-4789
- Fax
- (406) 258-4732
- NPI assigned
- Feb 6, 2018
- 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 | 29705 | MT | Primary |
Addresses
Primary practice location
401 Railroad St W
Missoula, MT 59802-4109
Mailing address
401 Railroad St W
Missoula, MT 59802-4109
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1043719941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 RAILROAD ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 RAILROAD ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024109",
"telephone_number": "406-258-4789",
"fax_number": "406-258-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDERLE",
"first_name": "COLLEEN",
"middle_name": "SHERYL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "29705",
"primary": true
}
],
"identifiers": [],
"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 Feb 6, 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.