Jennifer Andersen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-23210 Issued in MT

Practice address

320 E 2ND St
Libby, MT 59923-2010

Phone

(406) 283-6900

Fax

(406) 293-6622

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

University of Southern California Keck School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln County Community Health Center IncGroup PAC ID 6507778537, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lincoln County Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Libby, MT
  • NPI 1477574713

  MT

  Medicare reassignment Care Compare group NPD
• Lincoln County Community Health Center Inc

  • Community/Retail Pharmacy
  • Libby, MT
  • NPI 1417707837
  Care Compare group NPD
• Lincoln County Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Troy, MT
  • NPI 1417243213
  Care Compare group NPD (past)

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1215477013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6900",
            "fax_number": "406-293-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6900",
            "fax_number": "406-293-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-23210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achievements, Inc.
• Addus Healthcare (Idaho), Inc.
• Bobbie Sue Bamford, LMT NCTMB
• Severine Mia Clemence Basham, P.A.
• Deborah Bauer, RPH
• Stephen Norman Becker, M.D.
• Brian J Bell, M.D.

• All providers in Libby, MT
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.