Individual provider Active NPI

Maria S. Nyberg, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1124207295
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
810 Issued in MT
Practice address
2001 11TH Ave Ste 18
Helena, MT 59601-4881
Phone
(406) 439-5988
Fax
(877) 648-0837
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 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 810 MT Primary

Addresses

Primary practice location

2001 11TH Ave Ste 18
Helena, MT 59601-4881

Mailing address

2001 11TH Ave Ste 18
Helena, MT 59601-4881
Phone (406) 439-5988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240111003339 MT Practitioner - Clinical Social Worker 3072964212 Practice locations: Helena, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 11TH Ave
Suite 18
Helena, MT 59601-4881
Phone (406) 439-5988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
810MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Building Bridges Counseling Clinical CurrentSince Aug 6, 2023 Accepting new patients
Kristina L Dukart LCSW LLC Clinical CurrentSince Jul 16, 2023 Accepting new patients
Florence Crittenton Home and Services Inc. Clinical Past Accepting new patients
FCH Outreach Services Clinical Past Accepting new patients

Locations

2001 11th Ave
Ste 18
Helena, MT 59601
Phone (406) 439-5776

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1124207295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 11TH AVE STE 18",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014881",
            "telephone_number": "406-439-5988",
            "fax_number": "877-648-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 11TH AVE STE 18",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014881",
            "telephone_number": "406-439-5988",
            "fax_number": "877-648-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "MARIA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.