Individual provider Active NPI

Vasa Esther Parsons, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1174056170
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-21996 Issued in MT
Practice address
4409 Barbara LN
Missoula, MT 59803-1109
Phone
(406) 240-8272
NPI assigned
Apr 6, 2017
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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-21996 MT Primary

Addresses

Primary practice location

4409 Barbara LN
Missoula, MT 59803-1109

Mailing address

4409 Barbara LN
Missoula, MT 59803-1109
Phone (406) 240-8272

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
I20171031001916 MT Practitioner - Clinical Social Worker 0840566147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montana Center for Somatic PsychotherapyGroup PAC ID 0840684049, 7 clinicians

Practice addresses (Care Compare)

2237 S 3Rd St W
Missoula, MT 59801-1334
Phone (406) 541-2662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-21996MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Clinic, Inc. CurrentSince Sep 22, 2017 Accepting new patients
Montana Center for Somatic Psychotherapy Clinical CurrentSince Feb 28, 2022 Accepting new patients

Locations

610 N California St
Missoula, MT 59802
Phone (406) 721-1646

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15229/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1174056170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 BARBARA LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031109",
            "telephone_number": "406-240-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 BARBARA LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031109",
            "telephone_number": "406-240-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "VASA",
        "middle_name": "ESTHER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-21996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.