Individual provider Active NPI

Jennifer Marie Preble, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1336492016
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2423 Issued in MT
Practice address
900 Jackson St
Center for Mental Health
Helena, MT 59601-3428
Phone
(406) 443-7151
Fax
(406) 443-3420
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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 2423 MT Primary

Addresses

Primary practice location

900 Jackson St
Center for Mental Health
Helena, MT 59601-3428

Mailing address

PO Box 3089
Center for Mental Health
Great Falls, MT 59403-3089
Phone (406) 443-7151

Other identifiers 1

IdentifierTypeStateIssuer
0000700223OtherMTBLUE CROSS-SHIELD OF MONTANA

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
I20121207000343 MT Practitioner - Clinical Social Worker 1557513041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2423MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Clinical CurrentSince Apr 22, 2013 Accepting new patients
Eastern Montana Community Mental Health Center Clinical Past Accepting new patients
Western Montana Mental Health Center Clinical Past Accepting new patients
Center for Mental Health Past Accepting new patients

Locations

621 1st Ave S
Great Falls, MT 59401
Phone (406) 443-7151

900 Jackson St
Helena, MT 59601
Phone (406) 438-6539

Organizations & group practices 4

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1336492016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3089",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033089",
            "telephone_number": "406-443-7151",
            "fax_number": "406-443-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JACKSON ST",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013428",
            "telephone_number": "406-443-7151",
            "fax_number": "406-443-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBLE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "2423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA",
            "identifier": "0000700223",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.