Daniel Brzozowski, LCSW
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1124033006 · NPPES record last updated Jul 20, 2009
Key facts
- NPI
- 1124033006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 458 (MT)
- Practice address
- 1315 Wyoming St
Missoula, MT 59801-1725 - Phone
- (406) 532-9700
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
415 N Higgins
Suite 119
Missoula, MT 59802-4561
Phone (406) 274-8210
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101102000364 | MT | Practitioner - Clinical Social Worker | 6406040617 | Practice locations: Missoula, MT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 458 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillside Health Care Center, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 458 | MT | Yes |
Addresses
Primary practice location
1315 Wyoming St
Missoula, MT 59801-1725
Mailing address
T-9 Fort Missoula
Missoula, MT 59804-7202
Phone (406) 532-9700
Other providers in Missoula, MT
- Cody Bryant
- Maureen Bryant
- Mariel Kareen Bryden
- Chloe Bryson
- Cindy R Bryson
- Cameron Lynn Bucheit
- Penny Palm Bucher
- Frances Marks Buck
- Mallory J Buck
- Christopher Paul Buckles
All providers in Missoula, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.