Active NPI
Dalton Price Mainwaring, LCSW
- Clinical Social Worker
- Helena, MT
National Provider Identifier
1639854979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-57357
- Practice address
- 2755 Colonial Dr
Helena, MT 59601-4926 - Phone
- (406) 444-1068
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-57357 | MT | Primary |
Addresses
Primary practice location
2755 Colonial Dr
Helena, MT 59601-4926
Mailing address
1003 Missoula Ave
Helena, MT 59601-3849
Phone (406) 465-0397
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Children's Home & Hospital | Current | Accepting new patients | |
| Montana Children's Home & Hospital | Current | Accepting new patients |
Locations
2620 Shodair Dr
Helena, MT 59601
Phone (406) 444-1125
2755 Colonial Dr
Helena, MT 59601
Phone (406) 444-7500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shodair Childrens Hospital
- General Acute Care Hospital
- Helena, MT
- NPI 1811056898
-
dba Shodair Children's Hospital
- Psychiatric Residential Treatment Facility
- Helena, MT
- NPI 1255704508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1639854979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 MISSOULA AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596013849",
"telephone_number": "406-465-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 COLONIAL DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014926",
"telephone_number": "406-444-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINWARING",
"first_name": "DALTON",
"middle_name": "PRICE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-57357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.