Individual provider Active NPI

Amy Titgemeier Stevens, MSW, LCSW

  • Clinical Social Worker
  • Livingston, MT
National Provider Identifier
1316724644
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-6426 Issued in MT
Practice address
124 1/2 N Main St
Livingston, MT 59047-2670
Phone
(406) 224-4040
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 BBH-LCSW-LIC-6426 MT Primary

Addresses

Primary practice location

124 1/2 N Main St
Livingston, MT 59047-2670

Mailing address

315 N 3Rd St
Livingston, MT 59047-1910
Phone (406) 224-4040

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
I20240401003163 MT Practitioner - Clinical Social Worker 7618315375 Practice locations: Livingston, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 /2 N Main St
Livingston, MT 59047-2670
Phone (406) 224-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-6426MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breathing Room Counseling, LLC Clinical CurrentSince Nov 12, 2023 Accepting new patients

Locations

124 N Main St
Livingston, MT 59047
Phone (406) 224-4040

Organizations & group practices 1

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1316724644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590471910",
            "telephone_number": "406-224-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 1/2 N MAIN ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472670",
            "telephone_number": "406-224-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITGEMEIER STEVENS",
        "first_name": "AMY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-6426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.