Active NPI
Mark Ferriter, MSW, L.C.S.W.
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1700283439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWP-LCSW-LIC-8872
- Practice address
- 800 Kensington Ave
Ste 208
Missoula, MT 59801-5670 - Phone
- (406) 461-6784
- NPI assigned
- Nov 24, 2014
- Last updated
- Jun 28, 2016
- Sex
- Male
- 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 | SWP-LCSW-LIC-8872 | MT | Primary |
Addresses
Primary practice location
800 Kensington Ave
Ste 208
Missoula, MT 59801-5670
Mailing address
800 Kensington Ave
Ste 208
Missoula, MT 59801-5670
Phone (406) 461-6784
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWP-LCSW-LIC-8872 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Positive Change LLC | Current | Accepting new patients | |
| M.J.H.H., Inc. | Past | Accepting new patients |
Locations
800 Kensington Ave
Ste 208
Missoula, MT 59801
Phone (406) 461-6784
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Missoula, MT
- NPI 1861875668
-
- Clinical Psychologist
- Port Townsend, WA
- NPI 1063982247
-
- Clinical Psychologist
- Missoula, MT
- NPI 1639373939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1700283439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 KENSINGTON AVE",
"address_2": "STE 208",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015670",
"telephone_number": "406-461-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 KENSINGTON AVE",
"address_2": "STE 208",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015670",
"telephone_number": "406-461-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRITER",
"first_name": "MARK",
"credential": "MSW, L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-24",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "SWP-LCSW-LIC-8872",
"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 Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.