Active NPI
Olivia Hockenbroch, SWLC
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1093449191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-SWLC-LIC-56639
- Practice address
- 3819 Stephens Ave Ste 300
Missoula, MT 59801-8522 - Phone
- (406) 215-2225
- NPI assigned
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-SWLC-LIC-56639 | MT | Primary |
Addresses
Primary practice location
3819 Stephens Ave Ste 300
Missoula, MT 59801-8522
Mailing address
PO Box 3138
Missoula, MT 59806-3138
Phone (717) 525-0074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BBH-SWLC-LIC-56639 | Other | MT | SWLC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | iCloud | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-SWLC-LIC-56639 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missoula Therapy, PLLC | Current | Accepting new patients |
Locations
3819 Stephens Ave
Ste 300
Missoula, MT 59801
Phone (406) 215-2225
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.
-
- Mental Health Counselor
- Missoula, MT
- NPI 1225528110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1093449191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3138",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598063138",
"telephone_number": "717-525-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3819 STEPHENS AVE STE 300",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018522",
"telephone_number": "406-215-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKENBROCH",
"first_name": "OLIVIA",
"credential": "SWLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-SWLC-LIC-56639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SWLC",
"identifier": "BBH-SWLC-LIC-56639",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "iCloud",
"affiliation": "N",
"endpointDescription": "Missoula Therapy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3819 Stephens Ave Ste 300",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598018522",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.