Individual provider Active NPI

Gabrielle Judith Niemi, SWLC

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1588385488
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-SWLC-LIC-50027 Issued in MT
Practice address
820 Arlington Dr TRLR 26
Billings, MT 59101-5115
Phone
(406) 949-0741
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 BBH-SWLC-LIC-50027 MT Primary

Addresses

Primary practice location

820 Arlington Dr TRLR 26
Billings, MT 59101-5115

Mailing address

PO Box 4734
Bozeman, MT 59772-4734
Phone (406) 595-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 20, 2025 through Feb 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-SWLC-LIC-50027MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Bozeman Clinical CurrentSince Sep 23, 2024 Accepting new patients

Locations

1924 W Stevens St
Ste 202
Bozeman, MT 59718
Phone (406) 404-3638

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1588385488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4734",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597724734",
            "telephone_number": "406-595-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ARLINGTON DR TRLR 26",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591015115",
            "telephone_number": "406-949-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "GABRIELLE",
        "middle_name": "JUDITH",
        "credential": "SWLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-50027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.