Individual provider Active NPI

Shirley Sue Cayko, LCSW

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1659566495
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
803 LCSW Issued in MT
Practice address
1601 2ND Ave N Ste 400
Great Falls, MT 59401-3276
Phone
(406) 453-0088
NPI assigned
Sep 13, 2007
Last updated
Jan 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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 803 LCSW MT Primary

Addresses

Primary practice location

1601 2ND Ave N Ste 400
Great Falls, MT 59401-3276

Mailing address

PO Box 373
Ulm, MT 59485-0373
Phone (406) 268-1069

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
I20070921000279 MT Practitioner - Clinical Social Worker 2567556566 Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
803 LCSWMTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Clinical PastSince Apr 22, 2013 Accepting new patients

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1659566495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "ULM",
            "state": "MT",
            "postal_code": "594850373",
            "telephone_number": "406-268-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 400",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013276",
            "telephone_number": "406-453-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYKO",
        "first_name": "SHIRLEY",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "803 LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.