Individual provider Active NPI

Kathryn Rossetto Frutiger, LCSW

  • Social Worker
  • Whitefish, MT
National Provider Identifier
1245821644
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BBH-LCSW-LIC-48179 Issued in MT
Practice address
4005 Tamarack Creek Rd
Whitefish, MT 59937-7139
Phone
(907) 202-0126
NPI assigned
Jan 28, 2021
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BBH-LCSW-LIC-48179 MT Primary
Clinical Social Worker 1041C0700X 199825 AK

Addresses

Primary practice location

4005 Tamarack Creek Rd
Whitefish, MT 59937-7139

Mailing address

PO Box 5318
Whitefish, MT 59937-5318
Phone (907) 202-0126

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie.frutiger@gmail.cm

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20251230000934 AK Practitioner - Clinical Social Worker 4082100029 Practice locations: Talkeetna, AK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14618 E Travis Circle
Talkeetna, AK 99676-0676
Phone (907) 202-0126

PO Box
Whitefish, MT 59937

PO Box
Suite 5318
Whitefish, MT 59937-5318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-48179MTMDSocial Worker
199825AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Space Clinical CurrentSince Aug 27, 2023 Accepting new patients

Locations

424 Baker Ave
Unit 5318
Whitefish, MT 59937
Phone (907) 202-0126

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1245821644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5318",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599375318",
            "telephone_number": "907-202-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 TAMARACK CREEK RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377139",
            "telephone_number": "907-202-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUTIGER",
        "first_name": "KATHRYN",
        "middle_name": "ROSSETTO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "BBH-LCSW-LIC-48179",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "199825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie.frutiger@gmail.cm",
            "affiliation": "N",
            "address_1": "424 Baker Ave Unit 5318",
            "city": "Whitefish",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599377139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.