Active NPI
Shelby Dawn Schultz, LCSW
- Clinical Social Worker
- Stevensville, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-12101
- Practice address
- 715 Main St
Stevensville, MT 59870-2846 - Phone
- (406) 777-5522
- Fax
- (406) 777-1175
- NPI assigned
- May 28, 2015
- 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 | BBH-LCSW-LIC-12101 | MT | Primary |
Addresses
Primary practice location
715 Main St
Stevensville, MT 59870-2846
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 777-5522
Other practice location 1
1305 Wyoming St
Missoula, MT 59801-1725
Phone (406) 532-9770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 329-5828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-12101 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Clinical | Current | Accepting new patients |
Locations
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
715 Main St
Stevensville, MT 59870
Phone (406) 625-2733
Organizations & group practices 3
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.
-
dba St Patrick Hospital Rehab
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- General Acute Care Hospital
- Stevensville, MT
- NPI 1053613356
-
dba Providence Medical Group Montana
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1396124913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "406-777-5522",
"fax_number": "406-777-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 MAIN ST",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598702846",
"telephone_number": "406-777-5522",
"fax_number": "406-777-1175"
}
],
"practiceLocations": [
{
"address_1": "1305 Wyoming St",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598011725",
"country_code": "US",
"telephone_number": "406-532-9770",
"fax_number": "406-541-3034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTZ",
"first_name": "SHELBY",
"middle_name": "DAWN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-12101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stevensville, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.