Individual provider Active NPI

Jessica Cherie Hanson, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1699552323
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-79788 Issued in MT
Practice address
2721 Connery Way
Missoula, MT 59808-1951
Phone
(406) 381-5531
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 BBH-SWLC-LIC-64500 MT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-79788 MT Primary

Addresses

Primary practice location

2721 Connery Way
Missoula, MT 59808-1951

Mailing address

PO Box 17702
Missoula, MT 59808-7702
Phone (406) 381-5531

Other practice location 1

2825 Stockyard Rd Ste A18
Missoula, MT 59808-1545
Phone (406) 381-5531

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
BBH-LCSW-LIC-79788MTMDClinical Social Worker
BBH-SWLC-LIC-64500MTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1699552323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17702",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598087702",
            "telephone_number": "406-381-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 CONNERY WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081951",
            "telephone_number": "406-381-5531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Stockyard Rd Ste A18",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081545",
            "country_code": "US",
            "telephone_number": "406-381-5531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JESSICA",
        "middle_name": "CHERIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-64500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-79788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.