Individual provider Active NPI

Mark Ferriter, MSW, L.C.S.W.

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1700283439
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-8872 Issued in MT
Practice address
800 Kensington Ave
Ste 208
Missoula, MT 59801-5670
Phone
(406) 461-6784
NPI assigned
Nov 24, 2014
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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 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

LicenseStateTypeSpecialty
SWP-LCSW-LIC-8872MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Positive Change LLC CurrentSince Mar 26, 2024 Accepting new patients
M.J.H.H., Inc. PastSince May 29, 2016 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.

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.

Verify at the official NPI Registry.