Active NPI
Edgar Pretty on Top, MEDICAL SOCIAL WORK
- Clinical Social Worker
- Crow Agency, MT
National Provider Identifier
1285894972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3733603501
- Practice address
- 1010 South 7650 East
Crow Agency, MT 59022-0009 - Phone
- (406) 638-3491
- Fax
- (406) 638-3431
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- 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 | 3733603501 | UT | Primary |
Addresses
Primary practice location
1010 South 7650 East
Crow Agency, MT 59022-0009
Mailing address
PO Box 9
Crow Agency, MT 59022-0009
Phone (406) 638-3491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3733603501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1285894972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "CROW AGENCY",
"state": "MT",
"postal_code": "590220009",
"telephone_number": "406-638-3491",
"fax_number": "406-638-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SOUTH 7650 EAST",
"city": "CROW AGENCY",
"state": "MT",
"postal_code": "590220009",
"telephone_number": "406-638-3491",
"fax_number": "406-638-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRETTY ON TOP",
"first_name": "EDGAR",
"name_prefix": "Mr.",
"credential": "MEDICAL SOCIAL WORK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "3733603501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crow Agency, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.