Individual provider Active NPI

Cindy R Bryson, LCSW

  • Social Worker
  • Missoula, MT
National Provider Identifier
1194734566
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
762LCSW Issued in MT
Practice address
1600 North Ave W Ste 106
Missoula, MT 59801-5500
Phone
(406) 239-2911
Fax
(406) 258-0178
NPI assigned
Aug 5, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 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 762LCSW MT Primary

Addresses

Primary practice location

1600 North Ave W Ste 106
Missoula, MT 59801-5500

Mailing address

PO Box 2550
Missoula, MT 59806-2550
Phone (406) 239-2911

Other identifiers 2

IdentifierTypeStateIssuer
71655OtherMTBCBS
0035529MedicaidMT

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

State licenses

LicenseStateTypeSpecialty
762LCSWMTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy R Bryson LLC Current Accepting new patients

Locations

1600 North Ave W
Ste 106
Missoula, MT 59801
Phone (406) 360-3730

1610 South Ave W
Missoula, MT 59801

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1194734566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2550",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598062550",
            "telephone_number": "406-239-2911",
            "fax_number": "406-258-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NORTH AVE W STE 106",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015500",
            "telephone_number": "406-239-2911",
            "fax_number": "406-258-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "CINDY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "762LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "71655",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035529",
            "state": "MT"
        }
    ],
    "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 Sep 23, 2024; 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.