Individual provider Active NPI

Natalie Koziarski, AA, BSW, MSW, LCSW

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1508551284
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
72394 Issued in MT
Practice address
1001 Oak St Ste 205
Bozeman, MT 59715-8757
Phone
(406) 599-2492
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 72394 MT Primary

Addresses

Primary practice location

1001 Oak St Ste 205
Bozeman, MT 59715-8757

Mailing address

1001 Oak St Ste 205
Bozeman, MT 59715-8757
Phone (406) 599-2492

Other practice location 1

21000 Frontage Rd Ste 12
Belgrade, MT 59714-8547
Phone (406) 599-8264

Other practice location 2

2000 Fairway Dr Ste 106
Bozeman, MT 59715-5871
Phone (406) 599-2492

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
I20250107003489 MT Practitioner - Clinical Social Worker 3375071186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
72394MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sub Rosa Therapy CurrentSince Jan 1, 2025 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1508551284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 OAK ST STE 205",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158757",
            "telephone_number": "406-599-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 OAK ST STE 205",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158757",
            "telephone_number": "406-599-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 Frontage Rd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "597148547",
            "country_code": "US",
            "telephone_number": "406-599-8264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Fairway Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597155871",
            "country_code": "US",
            "telephone_number": "406-599-2492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZIARSKI",
        "first_name": "NATALIE",
        "credential": "AA, BSW, MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "72394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.