Active NPI
Nicole Rosenwald, LCSW
- Clinical Social Worker
- Livingston, MT
National Provider Identifier
1386330025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62770
- Practice address
- 129 S F St Ste 206
Livingston, MT 59047-2728 - Phone
- (406) 223-2019
- NPI assigned
- Apr 14, 2023
- 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 | 62770 | MT | Primary |
Addresses
Primary practice location
129 S F St Ste 206
Livingston, MT 59047-2728
Mailing address
PO Box 1822
Livingston, MT 59047-4703
Phone (406) 223-2019
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 |
|---|---|---|---|
| 62770 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hettie Jans Wortelboer PLLC | Single Specialty | Current | Accepting new patients |
Locations
215 E Lewis St
Ste 100
Livingston, MT 59047
Phone (406) 223-0206
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1386330025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1822",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590474703",
"telephone_number": "406-223-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 S F ST STE 206",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472728",
"telephone_number": "406-223-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENWALD",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "62770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.