Active NPI
Tinalynne Haugen, LCSW
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1225319064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 813-LCSW
- Practice address
- 1515 Fairview Ave
Suite 230
Missoula, MT 59801-7817 - Phone
- (406) 549-0147
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 813-LCSW | MT | Primary |
Addresses
Primary practice location
1515 Fairview Ave
Suite 230
Missoula, MT 59801-7817
Mailing address
1515 Fairview Ave
Suite 230
Missoula, MT 59801-7817
Phone (406) 549-0147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29 E Mountain St
Worcester, MA 01606-1400
Phone (508) 755-0556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 813-LCSW | MT | MD | Clinical Social Worker |
Interoperability endpoints
- tinalynne.haugen.npi1225319064.reliant@direct.optumcare.masshiway.net
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Marlborough, MA
- NPI 1437451382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1225319064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 FAIRVIEW AVE",
"address_2": "SUITE 230",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017817",
"telephone_number": "406-549-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 FAIRVIEW AVE",
"address_2": "SUITE 230",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017817",
"telephone_number": "406-549-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "TINALYNNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "813-LCSW",
"primary": true
}
],
"identifiers": [],
"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 7, 2011; 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.