Joni Mamica, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS757 Issued in MT

Practice address

380 4TH Avenue En
Kalispell, MT 59901-4160

Phone

(406) 260-2281

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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.

• Dancing Sun, LTD

  • Community/Behavioral Health Agency
  • Kalispell, MT
  • NPI 1598085136

  MT

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1457405201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 4TH AVENUE EN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014160",
            "telephone_number": "406-260-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 4TH AVENUE EN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014160",
            "telephone_number": "406-260-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMICA",
        "first_name": "JONI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "757",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "LCS757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Tawes Major, MPT
• Stanley Harland Makman, M.D.
• Jason Mallonee, L.C.S.W.
• Kelly L Malmin, PT
• Samuel Steele Maltby, D.D.S
• David E. Mangold, PA-C
• Marci Rae Mangold, PAC
• Cassandra Manzer, LMT
• Douglas S Marbarger, PA-C
• Lori Mariani

• All providers in Kalispell, MT
• Community/Behavioral Health Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.