Individual provider Active NPI

Dusti Bree Zimmer, LCSW

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1144367608
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-779 Issued in MT
Practice address
410 Central Ave Ste 319
Great Falls, MT 59401-3128
Phone
(406) 868-9533
Fax
(406) 403-0381
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 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 BBH-LCSW-LIC-779 MT Primary

Addresses

Primary practice location

410 Central Ave Ste 319
Great Falls, MT 59401-3128

Mailing address

PO Box 522
Great Falls, MT 59403-0522
Phone (406) 868-9533

Other identifiers 1

IdentifierTypeStateIssuer
0000071775OtherMTBLUE CROSS-SHIELD OF MONT

Other names 1

  • Dusti Bree Ekert Former name

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
I20221203000238 MT Practitioner - Clinical Social Worker 5890898142 Practice locations: Great Falls, MT

Care Compare profile

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

Practice addresses (Care Compare)

410 Central Ave
Great Falls, MT 59401-3128
Phone (406) 868-9533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-779MTMDClinical 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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1144367608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594030522",
            "telephone_number": "406-868-9533",
            "fax_number": "406-403-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CENTRAL AVE STE 319",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013128",
            "telephone_number": "406-868-9533",
            "fax_number": "406-403-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "DUSTI",
        "middle_name": "BREE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONT",
            "identifier": "0000071775",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTI",
            "last_name": "EKERT",
            "middle_name": "BREE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.