Active NPI
Michelle Miranda Puerner, L.C.S.W
- Clinical Social Worker
- Butte, MT
National Provider Identifier
1760802466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWP-LCSW-LIC-4610
- Practice address
- 125 W Granite St
Butte, MT 59701-9215 - Phone
- (406) 570-9880
- NPI assigned
- Apr 21, 2014
- 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 | SWP-LCSW-LIC-4610 | MT | Primary |
Addresses
Primary practice location
125 W Granite St
Butte, MT 59701-9215
Mailing address
125 W Granite St
Butte, MT 59701-9215
Phone (406) 570-9880
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 |
|---|---|---|---|
| SWP-LCSW-LIC-4610 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety Break PLLC | Clinical | Current | Accepting new patients |
| Adaptive Therapuetic Solutions, PLLC | Clinical | Current | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1760802466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W GRANITE ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019215",
"telephone_number": "406-570-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W GRANITE ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019215",
"telephone_number": "406-570-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUERNER",
"first_name": "MICHELLE",
"middle_name": "MIRANDA",
"name_prefix": "Ms.",
"credential": "L.C.S.W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "SWP-LCSW-LIC-4610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.