Individual provider Active NPI

Jesse Smith

  • Social Worker
  • Kalispell, MT
National Provider Identifier
1245876655
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
304 Salish CT
Kalispell, MT 59901-2544
Phone
(561) 385-0440
NPI assigned
Nov 20, 2019
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

304 Salish CT
Kalispell, MT 59901-2544

Mailing address

304 Salish CT
Kalispell, MT 59901-2544
Phone (561) 385-0440

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Family Clinic CurrentSince Jun 22, 2024 Accepting new patients
Northeast Montana Health Services, Inc. Current Accepting new patients
Northeast Montana Health Services Inc Current Accepting new patients
Wolf Point Clinic Association Inc CurrentSince Jun 22, 2024 Accepting new patients

Locations

301 Knapp St
Wolf Point, MT 59201
Phone (406) 653-2150

315 Knapp St
Wolf Point, MT 59201
Phone (406) 653-6500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac22fd4c-796d-4bb8-9292-da1e40231549/

Organizations & group practices 4

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1245876655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SALISH CT",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012544",
            "telephone_number": "561-385-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SALISH CT",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012544",
            "telephone_number": "561-385-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2023-10-17",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.