Individual provider Active NPI

Jeannie L. Zuidema, MM, MSW, ACSW, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1245677186
Registry record updated Jun 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC4466 Issued in MT
Practice address
2520 5TH Ave S
Billings, MT 59101-4342
Phone
(406) 860-5215
NPI assigned
Jun 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2013

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 SWP-LCSW-LIC4466 MT Primary

Addresses

Primary practice location

2520 5TH Ave S
Billings, MT 59101-4342

Mailing address

2520 5TH Ave S
Billings, MT 59101-4342
Phone (406) 860-5215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWP-LCSW-LIC4466MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Rain Counseling, LLC Clinical CurrentSince Aug 19, 2017 Accepting new patients

Locations

944 Avenue B
Billings, MT 59102
Phone (406) 259-1250

2520 5th Ave S
Billings, MT 59101
Phone (406) 690-7960

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": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370131200000",
    "number": "1245677186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 5TH AVE S",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591014342",
            "telephone_number": "406-860-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH AVE S",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591014342",
            "telephone_number": "406-860-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUIDEMA",
        "first_name": "JEANNIE",
        "middle_name": "L.",
        "credential": "MM, MSW, ACSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-02",
        "last_updated": "2013-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.