Individual provider Active NPI

Sylvia Mahr, LCSW

  • Clinical Social Worker
  • Hamilton, MT
National Provider Identifier
1215944335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
584 Issued in MT
Practice address
258 Roosevelt LN
Hamilton, MT 59840-3326
Phone
(406) 370-8341
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 584 MT Primary

Addresses

Primary practice location

258 Roosevelt LN
Hamilton, MT 59840-3326

Mailing address

PO Box 196
Corvallis, MT 59828-0196
Phone (406) 370-8341

Other names 1

  • Sylvia Jessop Former name

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
I20070530000492 MT Practitioner - Clinical Social Worker 9133227036 Reassigns benefits to 1 organization
Practice locations: Hamilton, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

127 W Main St
Suite a
Hamilton, MT 59840-2575
Phone (406) 370-8431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
584MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Montana Mental Health Center Clinical CurrentSince Mar 22, 2002 Accepting new patients

Locations

1315 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

1321 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215944335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598280196",
            "telephone_number": "406-370-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 ROOSEVELT LN",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403326",
            "telephone_number": "406-370-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHR",
        "first_name": "SYLVIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "JESSOP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.