Individual provider Active NPI

Abrei Anella Cloud, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1679952873
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11839 Issued in MT
Practice address
235 N 1St St W
Missoula, MT 59802-3661
Phone
(406) 239-1753
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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 11839 MT Primary

Addresses

Primary practice location

235 N 1St St W
Missoula, MT 59802-3661

Mailing address

PO Box 7144
Missoula, MT 59807-7144
Phone (406) 239-1753

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
I20150923002387 MT Practitioner - Clinical Social Worker 4486967726 Practice locations: Missoula, 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
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 E Broadway St
Suite 602
Missoula, MT 59802-4597
Phone (406) 239-1753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11839MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Moles LCSW Lac PastSince Jul 24, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1679952873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7144",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598077144",
            "telephone_number": "406-239-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N 1ST ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023661",
            "telephone_number": "406-239-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUD",
        "first_name": "ABREI",
        "middle_name": "ANELLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "11839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.