Organization Active NPI

Debbie Viegut, LCSW, Inc.

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1073013728
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113637401 Issued in MT
Legal business name
DEBBIE VIEGUT, LCSW, INC.
Practice address
800 Kensington Ave Ste 211C
Missoula, MT 59801-5670
Phone
(406) 531-4470
Fax
(406) 926-3009
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Debbie Viegut, LCSW
Title
Owner/Therapist
Phone
(406) 531-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 113637401 MT Primary

Addresses

Primary practice location

800 Kensington Ave Ste 211C
Missoula, MT 59801-5670

Mailing address

3019 Crisco LN
Missoula, MT 59803-9676
Phone (406) 531-4470

Other identifiers 1

IdentifierTypeStateIssuer
13682766OtherMTCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190801002464 MT Part B Supplier - Clinic/Group Practice 8628304367 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

800 Kensington Ave
Ste 221C
Missoula, MT 59801
Phone (406) 531-4470

800 Kensington Ave
Ste 211C
Missoula, MT 59801
Phone (406) 531-4470

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1073013728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 CRISCO LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598039676",
            "telephone_number": "406-531-4470",
            "fax_number": "406-926-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENSINGTON AVE STE 211C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015670",
            "telephone_number": "406-531-4470",
            "fax_number": "406-926-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE VIEGUT, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "VIEGUT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "406-531-4470",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "113637401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13682766",
            "state": "MT"
        }
    ],
    "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 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.