Jessica Elizabeth Dirienzo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-SWLC-LIC-72099 Issued in MT

Practice address

223 Town Center A5
PO Box 160443
Big Sky, MT 59716

Phone

(970) 409-7730

NPI assigned

Jul 2, 2024

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1689410508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 TOWN CENTER A5",
            "address_2": "PO BOX 160443",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "59716",
            "telephone_number": "970-409-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 TOWN CENTER A5",
            "address_2": "PO BOX 160443",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "59716",
            "telephone_number": "970-409-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRIENZO",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-72099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Richelle Cannon, MASSAGE THERAPIST
• Anna Rowena Carl, MD
• Eileen Coil, OTR/L, MOT
• Joshua Daniel, D.P.T.
• Jeffrey A Daniels, MD
• Maren J Dunn, DO
• Excelsior Holdings (Big Sky Counseling Services)
• Amanda Jo Farmer, PA-C
• Amy Helene Frey, CNM
• Michele Noelle Geppert

• Clinical Social Worker in Big Sky, MT
• Providers in Big Sky, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.