Individual provider Active NPI

Sandra Jean Galle, LCSW/LICSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1770906356
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-4730 Issued in MT
Practice address
900 Jackson St
Center for Mental Health
Helena, MT 59601-3428
Phone
(406) 443-7151
Fax
(406) 791-9629
NPI assigned
Feb 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60308815 WA
Clinical Social Worker 1041C0700X SWP-LCSW-LIC-4730 MT Primary
Clinical Social Worker 1041C0700X LC50079750 DC
Clinical Social Worker 1041C0700X 0904008379 VA
Clinical Social Worker 1041C0700X LCSW-881 WY
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

900 Jackson St
Center for Mental Health
Helena, MT 59601-3428

Mailing address

PO Box 3089
Center for Mental Health
Great Falls, MT 59403-3089
Phone (406) 443-7151

Other identifiers 1

IdentifierTypeStateIssuer
0MT0703063OtherMTBLUE CROSS-SHIELD OF MONTANA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50079750DCMDClinical Social Worker
SWP-LCSW-LIC-4730MTMDClinical Social Worker
0904008379VAMDClinical Social Worker
LW60308815WAMDClinical Social Worker
LCSW-881WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Past Accepting new patients
Western Montana Mental Health Center Clinical PastSince Oct 23, 2015 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": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1770906356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3089",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033089",
            "telephone_number": "406-443-7151",
            "fax_number": "406-791-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JACKSON ST",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013428",
            "telephone_number": "406-443-7151",
            "fax_number": "406-791-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLE",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW/LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-01",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60308815",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-4730",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079750",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-881",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA",
            "identifier": "0MT0703063",
            "state": "MT"
        }
    ],
    "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 Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.