Individual provider Active NPI

Bridgette Montana Langley, SWLC, ACLC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1609654565
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-SWLC-LIC-73001 Issued in MT
Practice address
1724 Fairview Ave Ste a
Missoula, MT 59801-7873
Phone
(406) 214-3810
Fax
(406) 720-7806
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-ACLC-LIC-62924 MT
Clinical Social Worker 1041C0700X BBH-SWLC-LIC-73001 MT Primary

Addresses

Primary practice location

1724 Fairview Ave Ste a
Missoula, MT 59801-7873

Mailing address

1724 Fairview Ave Ste a
Missoula, MT 59801-7873
Phone (406) 214-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-ACLC-LIC-62924MTMDAddiction (Substance Use Disorder) Counselor
BBH-SWLC-LIC-73001MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little Sunflower Counseling, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

1724 Fairview Ave
Ste A
Missoula, MT 59801
Phone (406) 214-3810

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1609654565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 FAIRVIEW AVE STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017873",
            "telephone_number": "406-214-3910",
            "fax_number": "406-720-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 FAIRVIEW AVE STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017873",
            "telephone_number": "406-214-3810",
            "fax_number": "406-720-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "BRIDGETTE",
        "middle_name": "MONTANA",
        "credential": "SWLC, ACLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-62924",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-73001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.