Individual provider Active NPI

Stefan C Bean, MSW, LCSW

  • Clinical Social Worker
  • Kalispell, MT
National Provider Identifier
1710207683
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
926 Issued in MT
Practice address
723 5TH Ave E
Suite 130
Kalispell, MT 59901-5321
Phone
(406) 253-0711
NPI assigned
Jun 2, 2010
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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 926 MT Primary

Addresses

Primary practice location

723 5TH Ave E
Suite 130
Kalispell, MT 59901-5321

Mailing address

PO Box 532
Kalispell, MT 59903-0532
Phone (406) 253-0711

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110001028 MT Practitioner - Clinical Social Worker 1153516604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 2ND St E
Suite 245
Kalispell, MT 59901-6114
Phone (406) 253-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
926MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stefan C. Bean, PC Clinical CurrentSince Oct 1, 2014 Accepting new patients

Locations

40 2nd St E
Ste 245
Kalispell, MT 59901
Phone (406) 253-0711

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, 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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1710207683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599030532",
            "telephone_number": "406-253-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 5TH AVE E",
            "address_2": "SUITE 130",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015321",
            "telephone_number": "406-253-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "STEFAN",
        "middle_name": "C",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.