Jacqueline Kay Barille, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1011-LCSW Issued in MT

Practice address

1601 2ND Ave N Ste 610
Great Falls, MT 59401-3286

Phone

(406) 478-5858

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacqueline Kay Neneman Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Falls, MT
  • NPI 1144251885

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1750677258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 612",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013287",
            "telephone_number": "406-478-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 610",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013286",
            "telephone_number": "406-478-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARILLE",
        "first_name": "JACQUELINE KAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "1011-LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANAN",
            "identifier": "0000070878",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE KAY",
            "last_name": "NENEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anastasia Marie Balius, M.D.
• Jamal Abdul Yasser Balouch, DO
• Sean Constantine Banks, DO
• Andrew A. Barber, D.O.
• Elaine A Barbieri, MD
• Casey Elizabeth Barker, APRN, FNP-C
• Marcella L Barker, MD
• Jamie Barnes, PA-C
• Jimmie Jason Barnwell, PA-C
• Darci Barsotti, PHARMD

• All providers in Great Falls, MT
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.