Active NPI
Donna J Delich, LCSW LAC
- Clinical Social Worker
- Livingston, MT
National Provider Identifier
1154446219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 792
- Practice address
- 320 N Main St Ste 4
Livingston, MT 59047-2000 - Phone
- (406) 223-3104
- Fax
- (406) 333-2888
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 792 | MT | Primary |
Addresses
Primary practice location
320 N Main St Ste 4
Livingston, MT 59047-2000
Mailing address
320 N Main St Ste 4
Livingston, MT 59047-2000
Phone (406) 222-2812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Chemical Dependency Program | Rehabilitation, Substance Use Disorder | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Livingston, MT
- NPI 1649300567
Rehabilitation, Substance Use Disorder
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1154446219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N MAIN ST STE 4",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472000",
"telephone_number": "406-222-2812",
"fax_number": "406-222-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N MAIN ST STE 4",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472000",
"telephone_number": "406-223-3104",
"fax_number": "406-333-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELICH",
"first_name": "DONNA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LCSW LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.