Vanessa Clark, LCSW
Individual provider Active NPI Clinical Social Worker · Gallatin Gateway, MT
NPI 1336656271 · NPPES record last updated Jan 1, 2018
Key facts
- NPI
- 1336656271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 24163 (MT)
- Practice address
- 76605 Gallatin Rd
Gallatin Gateway, MT 59730-8711 - Phone
- (406) 498-3235
- NPI assigned
- Jan 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dandelion Counseling LLC
Practice addresses (Care Compare)
3985 Valley Commons Dr
Bozeman, MT 59718-6633
Phone (406) 498-3235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190416002222 | MT | Practitioner - Clinical Social Worker | 1052652203 |
Reassigns benefits to 1 organization Practice locations: Bozeman, MT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dandelion Counseling, LLC | Clinical | Current |
Accepting new patients |
| Health in Motion Physical Therapy Inc | Current |
Accepting new patients |
Locations
1716 W Main St
Ste 8C
Bozeman, MT 59715
Phone (406) 223-8370
3985 Valley Commons Dr
Bozeman, MT 59718
Phone (406) 498-3235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24163 | MT | Yes |
Addresses
Primary practice location
76605 Gallatin Rd
Gallatin Gateway, MT 59730-8711
Mailing address
PO Box 102
Gallatin Gateway, MT 59730-0102
Other providers in Gallatin Gateway, MT
- Jessie Ahnmark
- Ryan Blair Boswell
- Roy Anthony Brown
- Zach Michael Connelly
- Forest Imaging, Inc.
- Garnet Therapies, LLC
- Nikki Hogan
- Jacquelyn Rinaldi PHD Professional LLC
All providers in Gallatin Gateway, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.