Tanjariitta Annika Anttila Van Hoover, LCSW
Individual provider Active NPI Social Worker · Kalispell, MT
NPI 1407841950 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1407841950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- SW7565 (FL)
- Practice address
- 1605 Danielson Rd
Kalispell, MT 59901-7252 - Phone
- (406) 758-8100
- Fax
- (406) 758-8150
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881 | MT | MD | Environmental Modification Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Ranch Inc | Past | Accepting new patients | |
| Summit Ranch Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW7565 | FL | Yes |
Addresses
Primary practice location
1605 Danielson Rd
Kalispell, MT 59901-7252
Mailing address
1605 Danielson Rd
Kalispell, MT 59901-7252
Phone (406) 758-8100
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.