Mendy Bucy, LCSW
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1770525115 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1770525115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 642LCSW (MT)
- Practice address
- 1622 South Ave W
Third Floor
Missoula, MT 59801-7804 - Phone
- (406) 543-9700
- Fax
- (406) 549-8109
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 642LCSW | MT | MD | Clinical Social Worker |
| 642 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Neuropsychological Associates, PLLC | Current |
Accepting new patients | |
| Montana Neurobehavioral Specialists | Past | Accepting new patients |
Locations
1622 South Ave W
Missoula, MT 59801
Phone (406) 543-9700
1610 South Ave W
Missoula, MT 59801
1622 South Ave W
Fl Third
Missoula, MT 59801
Phone (406) 543-9700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 642LCSW | MT | Yes |
Addresses
Primary practice location
1622 South Ave W
Third Floor
Missoula, MT 59801-7804
Mailing address
1622 South Ave W
Third Floor
Missoula, MT 59801-7804
Phone (406) 543-9700
Other providers in Missoula, MT
- Penny Palm Bucher
- Frances Marks Buck
- Mallory J Buck
- Christopher Paul Buckles
- Taylor Buckley
- Buffalo Heart Healing
- Megan Anisa Bugoni
- Jenea Odette Buhler
- Building New Horizons Inc
- Thomas J Bulger
All providers in Missoula, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.