Individual provider Active NPI

Jessica K. Davis, LCSW

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1407333438
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-31575 Issued in MT
Practice address
1039 Stoneridge Dr
Bozeman, MT 59718
Phone
(406) 599-2492
NPI assigned
Jul 23, 2018
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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-31575 MT Primary

Addresses

Primary practice location

1039 Stoneridge Dr
Bozeman, MT 59718

Mailing address

1039 Stoneridge Dr
Bozeman, MT 59718-7056
Phone (406) 599-2492

Other practice location 1

931 Highland Blvd Ste 3130
Bozeman, MT 59715-6914
Phone (406) 414-5070

Other names 1

  • Jessica R. Koscielski Former 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
I20190205000443 MT Practitioner - Clinical Social Worker 2769720465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

931 Highland Blvd
Suite 3130
Bozeman, MT 59715-6914
Phone (406) 414-5070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Mar 10, 2025 Accepting new patients
Ncenter, LLC CurrentSince Oct 1, 2018 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Mar 10, 2025 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

1001 W Oak St
Ste 205
Bozeman, MT 59715
Phone (406) 581-1138

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3130
Bozeman, MT 59715
Phone (406) 414-5070

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1407333438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 STONERIDGE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187056",
            "telephone_number": "406-599-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 STONERIDGE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718",
            "telephone_number": "406-599-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 Highland Blvd Ste 3130",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156914",
            "country_code": "US",
            "telephone_number": "406-414-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-31575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KOSCIELSKI",
            "middle_name": "R.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.