Active NPI
Joni Ann Patterson-Croskey, LCSW
- Clinical Social Worker
- Bozeman, MT
National Provider Identifier
1306902408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 250
- Practice address
- 321 E Main St Ste 302
Bozeman, MT 59715-4731 - Phone
- (406) 587-3792
- Fax
- (406) 587-3792
- NPI assigned
- Dec 31, 2006
- Sex
- Female
- 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 | 250 | MT | Primary |
Addresses
Primary practice location
321 E Main St Ste 302
Bozeman, MT 59715-4731
Mailing address
1000 Blackwood Rd
Bozeman, MT 59718-7609
Phone (406) 587-3792
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0500004 | Medicaid | MT | |
| 70033 | Other | MT | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 250 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306902408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BLACKWOOD RD",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187609",
"telephone_number": "406-587-3792",
"fax_number": "406-587-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E MAIN ST STE 302",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597154731",
"telephone_number": "406-587-3792",
"fax_number": "406-587-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON-CROSKEY",
"first_name": "JONI",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0500004",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "70033",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.