Active NPI
Jessica McDanold, LCSW
- Clinical Social Worker
- Sidney, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1007
- Practice address
- 1405 4TH St SW
Sidney, MT 59270-3515 - Phone
- (406) 643-4095
- Fax
- (406) 433-3586
- NPI assigned
- Jan 27, 2012
- Last updated
- Oct 9, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1007 | MT | Primary |
| Marriage & Family Therapist | 106H00000X | 108 | MT |
Addresses
Primary practice location
1405 4TH St SW
Sidney, MT 59270-3515
Mailing address
PO Box 1407
Sidney, MT 59270-1407
Phone (406) 643-4095
Other practice location 1
107 Dilworth St
Glendive, MT 59330-2053
Phone (406) 345-8901
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
216 E Main St
Sidney, MT 59270-4328
Phone (406) 643-4095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108 | MT | MD | Clinical Social Worker |
| 1007 | MT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Wellness Center, LLC | Clinical | Current | Accepting new patients |
Locations
216 E Main St
Sidney, MT 59270
Phone (406) 643-4095
216 E Main St
Ste 2
Sidney, MT 59270
Phone (406) 643-4095
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1780956300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1407",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592701407",
"telephone_number": "406-643-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 4TH ST SW",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592703515",
"telephone_number": "406-643-4095",
"fax_number": "406-433-3586"
}
],
"practiceLocations": [
{
"address_1": "107 Dilworth St",
"address_purpose": "LOCATION",
"city": "Glendive",
"state": "MT",
"postal_code": "593302053",
"country_code": "US",
"telephone_number": "406-345-8901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDANOLD",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "1007",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MT",
"license": "108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.