Individual provider Active NPI

Shawn Lee Winters

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1104287267
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16452 Issued in MT
Practice address
513 1St Ave S
Center for Mental Health/Pact
Great Falls, MT 59401-3604
Phone
(406) 727-4315
Fax
(406) 791-9629
NPI assigned
Mar 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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 16452 MT Primary

Addresses

Primary practice location

513 1St Ave S
Center for Mental Health/Pact
Great Falls, MT 59401-3604

Mailing address

PO Box 3089
Center for Mental Health
Great Falls, MT 59403-3089
Phone (406) 727-4315

Other identifiers 1

IdentifierTypeStateIssuer
OMT0703543OtherMTBLUE CROSS-SHIELD OF MONTANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

915 1St Ave S
PO Box 3089
Great Falls, ID 59401-3705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16452MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Past Accepting new patients

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1104287267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3089",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033089",
            "telephone_number": "406-727-4315",
            "fax_number": "406-791-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 1ST AVE S",
            "address_2": "CENTER FOR MENTAL HEALTH/PACT",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013604",
            "telephone_number": "406-727-4315",
            "fax_number": "406-791-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "SHAWN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "16452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA",
            "identifier": "OMT0703543",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.