Individual provider Active NPI

Katherine Kosma Schwartz, LCSW, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Missoula, MT
National Provider Identifier
1629239272
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1075 Issued in MT
Practice address
500 West Broadway
St Patrick Hospital & Health Sciences Center
Missoula, MT 59802-4008
Phone
(406) 327-3022
Fax
(406) 327-3385
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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 1075 MT Primary
Clinical Social Worker 1041C0700X 904 MT

Addresses

Primary practice location

500 West Broadway
St Patrick Hospital & Health Sciences Center
Missoula, MT 59802-4008

Mailing address

PO Box 4587
St Patrick Hospital & Health Sciences Center
Missoula, MT 59802-4587
Phone (406) 327-3022

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
I20120210000358 MT Practitioner - Clinical Social Worker 0840457388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2825 Sante Fe Court
Missoula, MT 59808
Phone (406) 546-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1075MTMDAthletic Trainer
904MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Kosma Schwartz LCSW Lac LLC Clinical CurrentSince Nov 10, 2019 Accepting new patients

Locations

2809 Great Northern Loop
Ste 300
Missoula, MT 59808
Phone (360) 926-6308

Organizations & group practices 2

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1629239272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4587",
            "address_2": "ST PATRICK HOSPITAL & HEALTH SCIENCES CENTER",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024587",
            "telephone_number": "406-327-3022",
            "fax_number": "406-327-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WEST BROADWAY",
            "address_2": "ST PATRICK HOSPITAL & HEALTH SCIENCES CENTER",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-327-3022",
            "fax_number": "406-327-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "KATHERINE",
        "middle_name": "KOSMA",
        "name_prefix": "Ms.",
        "credential": "LCSW,  LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1075",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.