Individual provider Active NPI

Adrienne Elizabeth Gross

  • Clinical Social Worker
  • Stevensville, MT
National Provider Identifier
1659870079
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-30385 Issued in MT
Practice address
115 W 3Rd St Ste 107
Stevensville, MT 59870-2034
Phone
(406) 396-6283
Fax
(406) 777-5358
NPI assigned
Feb 12, 2018
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 BBH-LCSW-LIC-30385 MT Primary

Addresses

Primary practice location

115 W 3Rd St Ste 107
Stevensville, MT 59870-2034

Mailing address

115 W 3Rd St Ste 107
Stevensville, MT 59870-2034
Phone (406) 396-6283

Other practice location 1

100 Consumer Direct Way Ste 160
Missoula, MT 59808-5037
Phone (406) 532-1615

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
I20201023001949 MT Practitioner - Clinical Social Worker 7618397308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

504 Main St
Stevensville, MT 59870-2836
Phone (406) 396-6283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Creek Counseling, LLC Clinical CurrentSince Jun 19, 2020 Accepting new patients

Locations

115 W 3rd St
Ste 107
Stevensville, MT 59870
Phone (406) 370-8341

504 Main St
Stevensville, MT 59870
Phone (406) 396-6283

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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1659870079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 3RD ST STE 107",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702034",
            "telephone_number": "406-396-6283",
            "fax_number": "406-777-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 3RD ST STE 107",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702034",
            "telephone_number": "406-396-6283",
            "fax_number": "406-777-5358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Consumer Direct Way Ste 160",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598085037",
            "country_code": "US",
            "telephone_number": "406-532-1615",
            "fax_number": "406-532-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ADRIENNE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-30385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.