Individual provider Active NPI

Aubrey Reed

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1306468137
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-62641 Issued in MT
Practice address
1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871
Phone
(213) 821-5977
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-62641 MT Primary

Addresses

Primary practice location

1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871

Mailing address

2620 Connery Way
Missoula, MT 59808-1325
Phone (406) 203-9948

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
I20230526001416 MT Practitioner - Clinical Social Worker 8426415936 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-62641MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Montana Mental Health Center Clinical CurrentSince Jul 15, 2024 Accepting new patients
Sunburst Health LLC Clinical CurrentSince Dec 5, 2025 Accepting new patients

Locations

205 E Park Ave
Anaconda, MT 59711
Phone (406) 563-8117

2282 US Highway 93 S
Kalispell, MT 59901
Phone (406) 756-8721

2620 Connery Way
Missoula, MT 59808
Phone (406) 203-9948

1315 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

1321 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

1325 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1306468137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CONNERY WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081325",
            "telephone_number": "406-203-9948",
            "fax_number": "406-609-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S OLIVE ST STE 1400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152871",
            "telephone_number": "213-821-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "AUBREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-62641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.