Donna Yeomans Gardner, LCSW – Clinical Social Worker

Key facts

NPI: 1053989244
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: BBH-LCSW-LIC-17983 (MT)
Practice address: 3985 Valley Commons Dr
Bozeman, MT 59718-6633
Phone: (406) 813-0239
NPI assigned: Jun 14, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Dandelion Counseling, LLC Clinical Social Worker · Bozeman, MT · NPI 1336709476

Medicare reassignment Care Compare group NPD CLINICAL · MT
Health in Motion Physical Therapy Inc Physical Therapist · Bozeman, MT · NPI 1710916614

NPD

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 1990
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Dandelion Counseling LLC (2 clinicians)

Practice addresses (Care Compare)

3985 Valley Commons Dr
Bozeman, MT 59718-6633
Phone (406) 498-3235

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210809003832	MT	Practitioner - Clinical Social Worker	9335543644	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Dandelion Counseling, LLC	Clinical	Current since Jun 1, 2021	Accepting new patients
Health in Motion Physical Therapy Inc		Current since Jun 1, 2021	Accepting new patients

Locations

3985 Valley Commons Dr
Bozeman, MT 59718
Phone (406) 498-3235

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	BBH-LCSW-LIC-17983	MT	Yes

Addresses

Primary practice location

3985 Valley Commons Dr
Bozeman, MT 59718-6633

Mailing address

401 Peace Pipe Dr
Bozeman, MT 59715-1768
Phone (406) 570-4939

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 14, 2021.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1053989244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PEACE PIPE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597151768",
            "telephone_number": "406-570-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 VALLEY COMMONS DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186633",
            "telephone_number": "406-813-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DONNA",
        "middle_name": "YEOMANS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-17983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

All providers in Bozeman, MT · Clinical Social Worker in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.