Active NPI
Victor Labarre Stampley, LCSW
- Clinical Social Worker
- Superior, MT
National Provider Identifier
1508877291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 162
- Practice address
- 405 Brooklyn Avenue
Superior, MT 59872 - Phone
- (406) 532-9150
- Fax
- (406) 822-3077
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 162 | MT | Primary |
Addresses
Primary practice location
405 Brooklyn Avenue
Superior, MT 59872
Mailing address
T-9 Fort Missoula
Missoula, MT 59804-7202
Phone (406) 532-8400
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162 | MT | MD | Massage Therapist |
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.
-
- Clinical Social Worker
- Missoula, MT
- NPI 1114293354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508877291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T-9 FORT MISSOULA",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047202",
"telephone_number": "406-532-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BROOKLYN AVENUE",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "59872",
"telephone_number": "406-532-9150",
"fax_number": "406-822-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMPLEY",
"first_name": "VICTOR",
"middle_name": "LABARRE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Superior, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.