Individual provider Active NPI

Donna J Delich, LCSW LAC

  • Clinical Social Worker
  • Livingston, MT
National Provider Identifier
1154446219
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
792 Issued in MT
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

Updated by the provider on Jul 28, 2020

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 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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.