Organization Active NPI

Char Peppenger, LCSW PLLC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1144783663
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHAR PEPPENGER, LCSW PLLC
Practice address
2935 Stockyard Rd Ste K4
Missoula, MT 59808-1567
Phone
(406) 370-3839
Fax
(406) 549-0282
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Char Ann Peppenger, LCSW
Title
Owner
Phone
(406) 370-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2935 Stockyard Rd Ste K4
Missoula, MT 59808-1567

Mailing address

2935 Stockyard Rd Ste K4
Missoula, MT 59808-1567
Phone (406) 370-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191101002295 MT Part B Supplier - Clinic/Group Practice 7517299084 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

2935 Stockyard Rd
Ste K4
Missoula, MT 59808
Phone (406) 320-3839

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1144783663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 STOCKYARD RD STE K4",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081567",
            "telephone_number": "406-370-3839",
            "fax_number": "406-549-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 STOCKYARD RD STE K4",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081567",
            "telephone_number": "406-370-3839",
            "fax_number": "406-549-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAR PEPPENGER, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "PEPPENGER",
        "authorized_official_first_name": "CHAR",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-370-3839",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.