Active NPI
Leslie Anne Johnson, LCSW
- Clinical Social Worker
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-55408
- Practice address
- 900 N Orange St Ste 202
Missoula, MT 59802-2951 - Phone
- (406) 327-3362
- NPI assigned
- Sep 30, 2022
- Sex
- Female
- 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 | BBH-LCSW-LIC-55408 | MT | Primary |
Addresses
Primary practice location
900 N Orange St Ste 202
Missoula, MT 59802-2951
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (866) 747-2455
Other practice location 1
2777 Renae Ct
Missoula, MT 59804-1104
Phone (406) 529-9419
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
900 N Orange St
Missoula, MT 59802-2951
Phone (406) 327-3362
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-55408 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Clinical | Current | Accepting new patients |
| Providence St Joseph Medical Center | Current | Accepting new patients | |
| Credena Health LLC | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients |
Locations
900 N Orange St
Ste 202
Missoula, MT 59802
Phone (406) 327-1670
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- Family Medicine Physician
- Polson, MT
- NPI 1669655528
-
- Community/Retail Pharmacy
- Polson, MT
- NPI 1164809778
-
- Cardiovascular Disease Physician
- Polson, MT
- NPI 1952568735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1750005989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N ORANGE ST STE 202",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598022951",
"telephone_number": "406-327-3362"
}
],
"practiceLocations": [
{
"address_1": "2777 Renae Ct",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598041104",
"country_code": "US",
"telephone_number": "406-529-9419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LESLIE",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-55408",
"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 Sep 26, 2023; 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.