Individual provider Active NPI

Justin Evans, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1679012173
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30085 Issued in MT
Practice address
111 N Last Chance Gulch Ste 2a
Helena, MT 59601-4144
Phone
(406) 431-6773
NPI assigned
Feb 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-16502 AZ
Clinical Social Worker 1041C0700X 30085 MT Primary

Addresses

Primary practice location

111 N Last Chance Gulch Ste 2a
Helena, MT 59601-4144

Mailing address

111 N Last Chance Gulch Ste 2a
Helena, MT 59601-4144
Phone (406) 431-6773

Other practice location 1

7860 E McClain Dr Ste 2
Scottsdale, AZ 85260-1679
Phone (619) 200-4986

Other practice location 2

16872 E Avenue Of The Fountains Ste 204
Fountain Hills, AZ 85268-8314
Phone (619) 200-4986

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
I20191115001013 MT Practitioner - Clinical Social Worker 2163854910 Practice locations: Helena, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 N Last Chance Gulch
Suite 2a
Helena, MT 59601-4144
Phone (406) 431-6773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-16502AZMDClinical Social Worker
30085MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine M Flynn PSYD PLLC CurrentSince Sep 8, 2019 Accepting new patients

Locations

111 N Main St
Ste 2A
Helena, MT 59601
Phone (406) 431-6773

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679012173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N LAST CHANCE GULCH STE 2A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014144",
            "telephone_number": "406-431-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LAST CHANCE GULCH STE 2A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014144",
            "telephone_number": "406-431-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7860 E McClain Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852601679",
            "country_code": "US",
            "telephone_number": "619-200-4986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16872 E Avenue Of The Fountains Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fountain Hills",
            "state": "AZ",
            "postal_code": "852688314",
            "country_code": "US",
            "telephone_number": "619-200-4986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-16502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "30085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.