Jessica Bozman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-76 Issued in MT

Practice address

67B W Kagy Blvd
Bozeman, MT 59715-6072

Phone

(406) 763-1833

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Through the Valleys Counseling Services

  • Community/Behavioral Health Agency
  • Bozeman, MT
  • NPI 1851875199
  NPD Authorized official

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1225400807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 GREENWAY CT",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597181839",
            "telephone_number": "631-561-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67B W KAGY BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156072",
            "telephone_number": "406-763-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZMAN",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-76",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "76",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bozeman Therapy & Counseling
• Bozeman Urological Associates
• Bozeman Wellness and Health LLC (Bozeman Birth Center)
• Bozeman Wellness Center
• Bozeman Wellness Counseling PLLC
• Amy Sue Braaksma, FNP
• Erin Braaksma, MSW, SWLC
• Tyler J. Bradford, MD
• Elena Bradley
• Suellen Bradley, RN, MSN

• Clinical Social Worker in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.