Individual provider Active NPI

Doreen Betty Johns, LCSW

  • Clinical Social Worker
  • Ronan, MT
National Provider Identifier
1407272883
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-7661 Issued in MT
Practice address
1 Eisenhower St SW
Ronan, MT 59864-3302
Phone
(406) 240-0038
NPI assigned
Mar 10, 2014
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-7661 MT Primary

Addresses

Primary practice location

1 Eisenhower St SW
Ronan, MT 59864-3302

Mailing address

42679 Loscheider Rd
Ronan, MT 59864-8859
Phone (406) 240-0038

Other names 1

  • Ms. Doreen Betty Johns Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140820002707 MT Practitioner - Clinical Social Worker 9133347917 Practice locations: Ronan, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Eisenhower St SW
Ronan, MT 59864-3302
Phone (406) 240-0038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1407272883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42679 LOSCHEIDER RD",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598648859",
            "telephone_number": "406-240-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EISENHOWER ST SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598643302",
            "telephone_number": "406-240-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "DOREEN",
        "middle_name": "BETTY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-7661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "JOHNS",
            "middle_name": "BETTY",
            "prefix": "MS.",
            "credential": "DOREEN JOHNS, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ronan, MT

Sources for this page

Verify at the official NPI Registry.