Active NPI
Ann Brownback, LCSW
- Clinical Social Worker
- Libby, MT
National Provider Identifier
1376585737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 338LCSW
- Practice address
- 415 Louisiana Ave
Libby, MT 59923-2131 - Phone
- (406) 293-4329
- Fax
- (406) 293-5336
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 338LCSW | MT | Primary |
Addresses
Primary practice location
415 Louisiana Ave
Libby, MT 59923-2131
Mailing address
415 Louisiana Ave
Libby, MT 59923-2131
Phone (406) 293-4329
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000502840 | Medicaid | MT | |
| 000007076-1 | 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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338LCSW | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mavis Vaillancourt LCSW Lac LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Libby, MT
- NPI 1699229682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376585737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 LOUISIANA AVE",
"city": "LIBBY",
"state": "MT",
"postal_code": "599232131",
"telephone_number": "406-293-4329",
"fax_number": "406-293-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 LOUISIANA AVE",
"city": "LIBBY",
"state": "MT",
"postal_code": "599232131",
"telephone_number": "406-293-4329",
"fax_number": "406-293-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNBACK",
"first_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "338LCSW",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000502840",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000007076-1",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.