Individual provider Active NPI

Jenna Samantha Huey

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1801448618
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
38648 Issued in MT
Practice address
2725 Jackrabbit LN
Bozeman, MT 59718-5716
Phone
(862) 200-4312
NPI assigned
Jul 11, 2019
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 38648 MT Primary

Addresses

Primary practice location

2725 Jackrabbit LN
Bozeman, MT 59718-5716

Mailing address

512 E Curtiss St
Bozeman, MT 59715-4821
Phone (862) 200-4312

Other names 1

  • Jenna Samantha Londynsky Former name

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

LicenseStateTypeSpecialty
38648MTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1801448618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E CURTISS ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154821",
            "telephone_number": "862-200-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 JACKRABBIT LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185716",
            "telephone_number": "862-200-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEY",
        "first_name": "JENNA",
        "middle_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "38648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "LONDYNSKY",
            "middle_name": "SAMANTHA",
            "credential": "SWLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.