Nicole Antoine

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-66435 Issued in MT

Practice address

35401 Mission Dr
Saint Ignatius, MT 59865-7791

Phone

(406) 745-3525

Fax

(406) 226-2645

NPI assigned

Feb 8, 2024

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Confederated Salish and Kootenai Tribes of the Flathead ReservationGroup PAC ID 1355382433, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Confederated Salish and Kootenai Tribes of the Flathead Reservation

  • Federally Qualified Health Center (FQHC)
  • St Ignatius, MT
  • NPI 1952402208
  Medicare reassignment Care Compare group NPD
• Confederated Salish & Kootenai Tribes of the Flathead Reservation

  dba CSKT St. Ignatius Health Center Pharmacy

  • Community/Retail Pharmacy
  • St Ignatius, MT
  • NPI 1669502316
  NPD

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1801650924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598650880",
            "telephone_number": "406-745-3525",
            "fax_number": "406-226-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35401 MISSION DR",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598657791",
            "telephone_number": "406-745-3525",
            "fax_number": "406-226-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-66435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 46 And 2 Therapy, PLLC
• Darin Lee Allard, RPH
• Lisa Marie Allard, PHARMACIST RPH
• Alvin Eugene Arneson, PHARMACIST
• Kim M Azure, LAC
• Megan Bailey, LCSW
• Harris Bajwa
• Marquerita Begay

• Clinical Social Worker in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.

Verify at the official NPI Registry.