Active NPI
Garrett Clayton Epperson, LCSW
- Social Worker
- Kalispell, MT
National Provider Identifier
1629590179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BBH-SWLC-LIC-19414
- Practice address
- 30 E Washington St Ste C
Kalispell, MT 59901-3967 - Phone
- (406) 253-2793
- NPI assigned
- Jul 15, 2017
- Last updated
- Sep 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BBH-SWLC-LIC-19414 | MT | Primary |
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-39132 | MT |
Addresses
Primary practice location
30 E Washington St Ste C
Kalispell, MT 59901-3967
Mailing address
30 E Washington St Ste C
Kalispell, MT 59901-3967
Phone (406) 253-2793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
507 10TH St W Westk
Kalispell, MT 59901-5564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-SWLC-LIC-19414 | MT | MD | Social Worker |
| BBH-LCSW-LIC-39132 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical of Michigan PC | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1629590179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E WASHINGTON ST STE C",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013967",
"telephone_number": "406-253-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E WASHINGTON ST STE C",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013967",
"telephone_number": "406-253-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "GARRETT",
"middle_name": "CLAYTON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-15",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MT",
"license": "BBH-SWLC-LIC-19414",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-39132",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.