Individual provider Active NPI

Wendy Gwinner

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1063782563
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
437 Issued in MT
Practice address
1820 W Lincoln St Ste 2
Bozeman, MT 59715-5412
Phone
(406) 581-7290
NPI assigned
Dec 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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 437 MT Primary

Addresses

Primary practice location

1820 W Lincoln St Ste 2
Bozeman, MT 59715-5412

Mailing address

416 Henderson St
Bozeman, MT 59715-6114
Phone (406) 586-6987

Other practice location 1

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 581-7290

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
I20150508001429 MT Practitioner - Clinical Social Worker 8022336759 Reassigns benefits to 1 organization
Practice locations: Bozeman, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1820 W Lincoln St
Suite 2
Bozeman, MT 59715-5412
Phone (406) 581-7290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
437MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Aug 28, 2024 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Aug 28, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients

Locations

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

1600 Ellis St
Ste 1C
Bozeman, MT 59715
Phone (406) 223-0886

931 Highland Blvd
Ste 3130
Bozeman, MT 59715
Phone (406) 414-5070

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

Organizations & group practices 3

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": "1325289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1063782563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 HENDERSON ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156114",
            "telephone_number": "406-586-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W LINCOLN ST STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155412",
            "telephone_number": "406-581-7290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156902",
            "country_code": "US",
            "telephone_number": "406-581-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWINNER",
        "first_name": "WENDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-31",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.