Individual provider Active NPI

Anne Florin

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1326507047
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37227 Issued in MT
Practice address
2809 Connery Way
Missoula, MT 59808-1954
Phone
(415) 425-6970
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 37227 MT Primary

Addresses

Primary practice location

2809 Connery Way
Missoula, MT 59808-1954

Mailing address

PO Box 3291
Missoula, MT 59806-3291

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
I20190722001654 MT Practitioner - Clinical Social Worker 2769718261 Reassigns benefits to 1 organization
Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annie FlorinGroup PAC ID 5496152571, 4 clinicians

Practice addresses (Care Compare)

2809 Connery Way
Suite B
Missoula, MT 59808-1955
Phone (406) 219-1267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37227MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Florin Clinical CurrentSince Apr 30, 2023 Accepting new patients
Annie Florin Clinical CurrentSince Aug 12, 2023 Accepting new patients
Stacey de Witt LCPC LLC (Stacey M de Witt Sole MBR) PastSince Jun 9, 2024 Accepting new patients

Locations

2809 Connery Way
Ste B
Missoula, MT 59808
Phone (208) 502-0664

2809 Connery Way
Missoula, MT 59808
Phone (406) 219-1267

Organizations & group practices 3

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1326507047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3291",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598063291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 CONNERY WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081954",
            "telephone_number": "415-425-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIN",
        "first_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "37227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.