Active NPI
Tescha Ann Hawley, LCSW
- Clinical Social Worker
- Harlem, MT
National Provider Identifier
1386289023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-SWLC-LIC-39072
- Practice address
- 18243 State Highway 66
Harlem, MT 59526-9099 - Phone
- (406) 399-1577
- NPI assigned
- Nov 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | BBH-SWLC-LIC-39072 | MT | Primary |
Addresses
Primary practice location
18243 State Highway 66
Harlem, MT 59526-9099
Mailing address
PO Box 1152
Harlem, MT 59526-1152
Phone (406) 399-1577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BBH-SWLC-LIC-39072 | Medicaid | MT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OpenEMR | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-SWLC-LIC-39072 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Eagle Hope Project | Current | 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.
-
- Social Worker
- Harlem, MT
- NPI 1386275204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1386289023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1152",
"city": "HARLEM",
"state": "MT",
"postal_code": "595261152",
"telephone_number": "406-399-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18243 STATE HIGHWAY 66",
"city": "HARLEM",
"state": "MT",
"postal_code": "595269099",
"telephone_number": "406-399-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWLEY",
"first_name": "TESCHA",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-SWLC-LIC-39072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BBH-SWLC-LIC-39072",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OpenEMR",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OpenEMR",
"address_1": "18243 State Highway 66",
"city": "Harlem",
"state": "MT",
"country_code": "US",
"postal_code": "595269099",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harlem, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.