Active NPI
Ivy Rennfield Bryce, LCSW
- Clinical Social Worker
- Helena, MT
National Provider Identifier
1720534779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-18811
- Practice address
- 48 Medical Park Dr
Helena, MT 59601-4925 - Phone
- (406) 490-5889
- Fax
- (409) 442-6935
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- 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 | BBH-LCSW-LIC-18811 | MT | Primary |
Addresses
Primary practice location
48 Medical Park Dr
Helena, MT 59601-4925
Mailing address
48 Medical Park Dr
Helena, MT 59601-4925
Phone (406) 490-5889
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
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-18811 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1720534779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014925",
"telephone_number": "406-490-5889",
"fax_number": "409-442-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014925",
"telephone_number": "406-490-5889",
"fax_number": "409-442-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNFIELD BRYCE",
"first_name": "IVY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-18811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.