Individual provider Active NPI

Laurie W Thatcher, LCSW

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1295898559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
461 Issued in MT
Practice address
105 W Main St
Suite 2E
Bozeman, MT 59715-5016
Phone
(406) 580-9160
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 461 MT Primary

Addresses

Primary practice location

105 W Main St
Suite 2E
Bozeman, MT 59715-5016

Mailing address

PO Box 6774
Bozeman, MT 59771-6774
Phone (406) 580-9160

Other identifiers 2

IdentifierTypeStateIssuer
70413OtherMTBCBS
501262MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20040129001159 MT Practitioner - Clinical Social Worker 2860395571 Reassigns benefits to 1 organization
Practice locations: Bozeman, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 W Kagy Blvd
Suite 65B
Bozeman, MT 59715-6052
Phone (406) 580-9160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Thatcher LCSW Inc CurrentSince Apr 6, 2024 Accepting new patients
Transforming Nutrition Care Past Accepting new patients

Locations

65 W Kagy Blvd
Ste 65B
Bozeman, MT 59715
Phone (406) 212-4890

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295898559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6774",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597716774",
            "telephone_number": "406-580-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST",
            "address_2": "SUITE 2E",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155016",
            "telephone_number": "406-580-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "LAURIE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70413",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501262",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.