Individual provider Active NPI

Carleen Dawn Grussling, LCSW, MSW

  • Clinical Social Worker
  • Hamilton, MT
National Provider Identifier
1639431224
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2303 Issued in MT
Practice address
120 Copper King CT Ste a
Hamilton, MT 59840
Phone
(406) 361-0283
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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 2303 MT Primary

Addresses

Primary practice location

120 Copper King CT Ste a
Hamilton, MT 59840

Mailing address

PO Box 777
Hamilton, MT 59840-0777
Phone (406) 361-0283

Other practice location 1

209 N 10th St
Suite A
Hamilton, MT 59840-2357
Phone (406) 532-9101

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
I20120820000852 MT Practitioner - Clinical Social Worker 0143477554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Copper King CT
Suite a
Hamilton, MT 59840-8809
Phone (406) 361-0283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2303MTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stacking Stones Counseling, LLC Clinical CurrentSince Jun 16, 2012 Accepting new patients

Locations

120 Copper King Ct
Ste A
Hamilton, MT 59840
Phone (406) 361-0283

99 Marcus St
Ste 3W
Hamilton, MT 59840

99 Marcus St
Ste C4
Hamilton, MT 59840
Phone (406) 375-7522

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1639431224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598400777",
            "telephone_number": "406-361-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COPPER KING CT STE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-361-0283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N 10th St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598402357",
            "country_code": "US",
            "telephone_number": "406-532-9101",
            "fax_number": "406-363-4498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUSSLING",
        "first_name": "CARLEEN",
        "middle_name": "DAWN",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "2303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.