Active NPI
Katrena Michelle Heagwood, LCSW
- Clinical Social Worker
- Butte, MT
National Provider Identifier
1699307637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-42627
- Practice address
- 81 W Park St
Butte, MT 59701-1713 - Phone
- (406) 497-9000
- Fax
- (406) 723-7117
- NPI assigned
- Feb 7, 2020
- 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-42627 | MT | Primary |
Addresses
Primary practice location
81 W Park St
Butte, MT 59701-1713
Mailing address
1321 Wyoming St
Missoula, MT 59801-1725
Phone (406) 532-8400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1321 Wyoming St
Missoula, MT 59801-1725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aware Inc | Current | Accepting new patients |
Locations
205 E Park Ave
Anaconda, MT 59711
Phone (406) 563-8117
3335 Lt Moss Rd
Missoula, MT 59804
Phone (406) 543-2202
1315 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700
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.
-
- Community/Behavioral Health Agency
- Anaconda, MT
- NPI 1427003862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1699307637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 WYOMING ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011725",
"telephone_number": "406-532-8400",
"fax_number": "406-224-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 W PARK ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011713",
"telephone_number": "406-497-9000",
"fax_number": "406-723-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAGWOOD",
"first_name": "KATRENA",
"middle_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-42627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.