Colleen Depuydt Johnson, LCSW
Individual provider Active NPI Clinical Social Worker · Columbia Falls, MT
NPI 1376976787 · NPPES record last updated Aug 21, 2013
Key facts
- NPI
- 1376976787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SWP-LCSW-LIC-4574 (MT)
- Practice address
- 305 1St Ave. W
Columbia Falls, MT 59912 - Phone
- (406) 892-4406
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
305 1St Ave W
Columbia Falls, MT 59912-3625
Phone (406) 250-3845
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 |
|---|---|---|---|---|
| I20131017000464 | MT | Practitioner - Clinical Social Worker | 6901030402 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWP-LCSW-LIC-4574 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colleen D Johnson, Counseling, LLC | Clinical | Current |
Accepting new patients |
Locations
305 1st Ave W
Columbia Fls, MT 59912
Phone (406) 249-9153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWP-LCSW-LIC-4574 | MT | Yes |
Addresses
Primary practice location
305 1St Ave. W
Columbia Falls, MT 59912
Mailing address
3536 Sunny LN
Columbia Falls, MT 59912-9043
Phone (406) 250-3845
Other names
- Ms. Colleen Depuydt Garcia
Other providers in Columbia Falls, MT
- Idea Telemedicine Services LLC
- Ideal Option PLLC
- Peter Ivey
- Amanda Jablonsky
- Wayne Emmett Jacobsmeyer
- Kalispell Regional Medical Center, Inc
- Kelly Ewalt, Inc
- Summor Kilgore
- Rachell Kirk
- Anndrea Kraisinger
All providers in Columbia Falls, 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 Aug 21, 2013. 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.