John Wood II, SWLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-SWLC-LIC-50519 Issued in MT

Practice address

9393 US Highway 10 W
Missoula, MT 59808-8605

Phone

(210) 417-7437

NPI assigned

Sep 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 3 Rivers Mental Health Solutions LLC

  • Community/Behavioral Health Agency
  • Missoula, MT
  • NPI 1861729535

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1427729698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 US HIGHWAY 10 W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598088605",
            "telephone_number": "210-417-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 US HIGHWAY 10 W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598088605",
            "telephone_number": "210-417-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "SWLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-50519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Woltanski, MD
• Douglas Keith Womack, L.AC.
• Womens Counseling Center P.C.
• Womens Health LLC
• Gregory A Wood, M.D.
• Kristen Rae Wood, P.T.
• Callie Monroe Woodman, MA
• Cindie L Woods, LCSW
• Michael W. Woods, M.D.
• Douglas L Woolley, MD

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.