Active NPI
Michael Ulrich, LCSW
- Clinical Social Worker
- Billings, MT
National Provider Identifier
1710028402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 773
- Practice address
- 848 Main St
Suite 21
Billings, MT 59105-3358 - Phone
- (406) 698-3128
- Fax
- (406) 245-1156
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 773 | MT | Primary |
Addresses
Primary practice location
848 Main St
Suite 21
Billings, MT 59105-3358
Mailing address
848 Main St 21
Billings, MT 59105-3361
Phone (406) 698-3128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70038 | Other | MT | BCBS LEGACY NUMBER |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100615000029 | MT | Practitioner - Clinical Social Worker | 3274663430 | Practice locations: Billings, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
848 Main St
Suite 21
Billings, MT 59105-3361
Phone (406) 698-3128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1710028402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 MAIN ST 21",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591053361",
"telephone_number": "406-698-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 MAIN ST",
"address_2": "SUITE 21",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591053358",
"telephone_number": "406-698-3128",
"fax_number": "406-245-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "MICHAEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LEGACY NUMBER",
"identifier": "70038",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.