Individual provider Active NPI

Mary Jo Barrett, M.S.W.

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1134348642
Registry record updated Dec 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
559 Issued in MT
Practice address
210 N Higgins Ave
Suite 338
Missoula, MT 59802-4462
Phone
(406) 829-1300
Fax
(406) 829-1400
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2011

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 559 MT Primary

Addresses

Primary practice location

210 N Higgins Ave
Suite 338
Missoula, MT 59802-4462

Mailing address

210 N Higgins Ave
Suite 338
Missoula, MT 59802-4462
Phone (406) 829-1300

Other identifiers 3

IdentifierTypeStateIssuer
000050182OtherMTMEDICARE PTAN
501993MedicaidMT
71423OtherMTBLUE CROSS BLUE SHIELD

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
I20111208000045 MT Practitioner - Clinical Social Worker 5597930297 Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

210 N Higgins Ave
Missoula, MT 59802-4443
Phone (406) 829-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
559MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Six Element Counseling, PLLC Clinical PastSince Jun 1, 2019 Accepting new patients
Mary Jo Barrett LCSW LLC Clinical PastSince Jun 18, 2012 Accepting new patients

Organizations & group practices 2

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322870400000",
    "number": "1134348642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HIGGINS AVE",
            "address_2": "SUITE 338",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024462",
            "telephone_number": "406-829-1300",
            "fax_number": "406-829-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGGINS AVE",
            "address_2": "SUITE 338",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024462",
            "telephone_number": "406-829-1300",
            "fax_number": "406-829-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000050182",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501993",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "71423",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.