Individual provider Active NPI

Jennifer Vaile, LCSW

  • Social Worker
  • Frenchtown, MT
National Provider Identifier
1194249235
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BBH-LCSW-LIC-23390 Issued in MT
Practice address
16840 Beckwith St Ste 11
Frenchtown, MT 59834-9650
Phone
(406) 241-6564
NPI assigned
Jul 31, 2017
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BBH-LCSW-LIC-23390 MT Primary

Addresses

Primary practice location

16840 Beckwith St Ste 11
Frenchtown, MT 59834-9650

Mailing address

PO Box 114
Frenchtown, MT 59834-0114
Phone (406) 241-6564

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
I20240507003991 MT Practitioner - Clinical Social Worker 4486095536 Practice locations: Frenchtown, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16840 Beckwith St
Suite 11
Frenchtown, MT 59834-9650
Phone (406) 241-6564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Grove Counseling LLC Clinical CurrentSince Feb 19, 2024 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, 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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1194249235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "598340114",
            "telephone_number": "406-241-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16840 BECKWITH ST STE 11",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "598349650",
            "telephone_number": "406-241-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILE",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "BBH-LCSW-LIC-23390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frenchtown, MT

Sources for this page

Verify at the official NPI Registry.