Individual provider Active NPI

Emily Jane Pray, M.S.W.

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1649558693
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-7857 Issued in MT
Practice address
725 W Alder St Ste 10
Missoula, MT 59802-4099
Phone
(406) 241-4769
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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 BBH-LCSW-LIC-7857 MT Primary

Addresses

Primary practice location

725 W Alder St Ste 10
Missoula, MT 59802-4099

Mailing address

PO Box 5931
Missoula, MT 59806-5931
Phone (406) 241-4769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1649558693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5931",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598065931",
            "telephone_number": "406-241-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ALDER ST STE 10",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024099",
            "telephone_number": "406-241-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAY",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-7857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.