Individual provider Active NPI

Lareissa Marie Swenson, LCSW

  • Clinical Social Worker
  • Townsend, MT
National Provider Identifier
1407379571
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-24627 Issued in MT
Practice address
502 N Pine St
Townsend, MT 59644-2008
Phone
(406) 980-1741
NPI assigned
Jul 20, 2017
Last updated
May 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2020

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-24627 MT Primary

Addresses

Primary practice location

502 N Pine St
Townsend, MT 59644-2008

Mailing address

502 N Pine St
Townsend, MT 59644-2008
Phone (406) 980-1741

Other names 1

  • Mrs. Lareissa-Marie Swenson Other 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
I20181102001757 MT Practitioner - Clinical Social Worker 0941553218 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

Practice addresses (Care Compare)

214 Broadway St
Townsend, MT 59644-2220
Phone (406) 916-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-24627MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Townsend Health Systems Inc, CurrentSince Aug 11, 2018 Accepting new patients
Townsend Health Systems, Inc. CurrentSince Aug 11, 2018 Accepting new patients
Sapphire Behavioral Health LLC CurrentSince Jan 14, 2022 Accepting new patients

Locations

110 N Oak St
Townsend, MT 59644
Phone (406) 266-3186

214 Broadway St
Townsend, MT 59644
Phone (406) 266-3224

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1407379571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N PINE ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442008",
            "telephone_number": "406-980-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N PINE ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442008",
            "telephone_number": "406-980-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "LAREISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-24627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAREISSA-MARIE",
            "last_name": "SWENSON",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Townsend, MT

Sources for this page

Verify at the official NPI Registry.