Individual provider Active NPI

Ashley Duran

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1073390472
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-64643 Issued in MT
Practice address
3600 W Babcock St
Bozeman, MT 59718-2801
Phone
(406) 582-6811
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 BBH-LCSW-LIC-64643 MT Primary

Addresses

Primary practice location

3600 W Babcock St
Bozeman, MT 59718-2801

Mailing address

8 Jackie Jo JCT Unit 102
Bozeman, MT 59718-1120
Phone (970) 690-8553

Other practice location 1

511 N 5th Ave
Bozeman, MT 59715-3419
Phone (406) 522-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260609004368 CO Practitioner - Clinical Social Worker 2567933666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1830 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4275
Phone (970) 384-6707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-64643MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain SBS Clinical Past Accepting new patients
Intermountain Deaconess Home Past Accepting new patients
Intermountain Deaconess Home for Children Clinical Past Accepting new patients

Organizations & group practices 4

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1073390472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JACKIE JO JCT UNIT 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597181120",
            "telephone_number": "970-690-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BABCOCK ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182801",
            "telephone_number": "406-582-6811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 N 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153419",
            "country_code": "US",
            "telephone_number": "406-522-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-64643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.