Individual provider Active NPI

Erin Tate, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1063901643
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33038 Issued in MT
Practice address
1629 Avenue D Ste A9
Billings, MT 59102-3042
Phone
(406) 970-9770
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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 33038 MT Primary

Addresses

Primary practice location

1629 Avenue D Ste A9
Billings, MT 59102-3042

Mailing address

1629 Avenue D Ste A9
Billings, MT 59102-3042
Phone (406) 970-9770

Other identifiers 1

IdentifierTypeStateIssuer
120689OtherMACOMMONWEALTH OF MA. DIVISION OF PROFESSIONAL LICENSURE BOARD OF SOCIAL WORKERS

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
I20200820002713 MT Practitioner - Clinical Social Worker 4183040140 Practice locations: Billings, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33038MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Tate Therapy Clinical CurrentSince Aug 1, 2020 Accepting new patients

Locations

1629 Avenue D
Ste A9
Billings, MT 59102
Phone (406) 272-9727

919 Broadwater Sq
Billings, MT 59101
Phone (406) 901-5563

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1063901643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 AVENUE D STE A9",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023042",
            "telephone_number": "406-970-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 AVENUE D STE A9",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023042",
            "telephone_number": "406-970-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "33038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF MA. DIVISION OF PROFESSIONAL LICENSURE BOARD OF SOCIAL WORKERS",
            "identifier": "120689",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.