Active NPI
Fredrick John Morganthaler II, LCSW
- Clinical Social Worker
- Dillon, MT
National Provider Identifier
1225221559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 769
- Practice address
- 610 N Montana St
Dillon, MT 59725-3353 - Phone
- (406) 683-4013
- NPI assigned
- Aug 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 769 | MT | Primary |
Addresses
Primary practice location
610 N Montana St
Dillon, MT 59725-3353
Mailing address
610 N Montana St
Dillon, MT 59725-3353
Phone (406) 683-4013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769 | Other | MT | STATE OF MONTANA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 769 | MT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1225221559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MONTANA ST",
"city": "DILLON",
"state": "MT",
"postal_code": "597253353",
"telephone_number": "406-683-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MONTANA ST",
"city": "DILLON",
"state": "MT",
"postal_code": "597253353",
"telephone_number": "406-683-4013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGANTHALER II",
"first_name": "FREDRICK",
"middle_name": "JOHN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-21",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MONTANA",
"identifier": "769",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dillon, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.