Individual provider Active NPI

Camille Del Duca

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1679357511
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57282 Issued in MT
Practice address
1716 W Main St Ste 8C
Bozeman, MT 59715-6821
Phone
(406) 813-0301
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 57282 MT Primary

Addresses

Primary practice location

1716 W Main St Ste 8C
Bozeman, MT 59715-6821

Mailing address

1716 W Main St Ste 8C
Bozeman, MT 59715-6821
Phone (406) 813-0301

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

LicenseStateTypeSpecialty
57282MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moon Bear PLLC Clinical Current Accepting new patients

Locations

1716 W Main St
Ste 8C
Bozeman, MT 59715
Phone (406) 813-0239

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1679357511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 W MAIN ST STE 8C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156821",
            "telephone_number": "406-813-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 W MAIN ST STE 8C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156821",
            "telephone_number": "406-813-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL DUCA",
        "first_name": "CAMILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "57282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.