Active NPI
Marie F Degel, LCSW
- Clinical Social Worker
- Great Falls, MT
National Provider Identifier
1669818068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-49445
- Practice address
- 615 2ND Ave N
Great Falls, MT 59401-2585 - Phone
- (406) 452-9048
- Fax
- (406) 452-9053
- NPI assigned
- May 13, 2013
- Sex
- Female
- 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-49445 | MT | Primary |
Addresses
Primary practice location
615 2ND Ave N
Great Falls, MT 59401-2585
Mailing address
9504 Borough Park St
Las Vegas, NV 89178-8295
Phone (702) 445-6474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BBH-LCSW-LIC-49445 | Other | MT | LICENSED CLINICAL SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-49445 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1669818068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9504 BOROUGH PARK ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891788295",
"telephone_number": "702-445-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 2ND AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594012585",
"telephone_number": "406-452-9048",
"fax_number": "406-452-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGEL",
"first_name": "MARIE",
"middle_name": "F",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-49445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "BBH-LCSW-LIC-49445",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.