Organization Active NPI

Joseph Boland

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1558692350
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
415 Issued in MT
Legal business name
JOSEPH BOLAND
Practice address
1604 Central Ave
Great Falls, MT 59401-3838
Phone
(406) 866-0981
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Joseph Boland, LCSWNPI 1881888717
Title
Therapist
Phone
(406) 866-0981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 415 MT Primary

Addresses

Primary practice location

1604 Central Ave
Great Falls, MT 59401-3838

Mailing address

1604 Central Ave
Great Falls, MT 59401-3838

Other identifiers 1

IdentifierTypeStateIssuer
500-191MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1558692350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013838",
            "telephone_number": "406-866-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BOLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "406-866-0981",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500-191",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.