Jeanette Stangl Inc PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

454LCSW Issued in MT

Practice address

821 South Orange Street
Sacajawea Offices
Missoula, MT 59801

Phone

(406) 542-8461

Fax

(406) 542-7449

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1811089774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EAST KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016021",
            "telephone_number": "406-542-8461",
            "fax_number": "406-542-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SOUTH ORANGE STREET",
            "address_2": "SACAJAWEA OFFICES",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-542-8461",
            "fax_number": "406-542-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGL INC PC",
        "first_name": "JEANETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "684LAC",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "454LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500973",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karin N. Stallard, MA.AC
• Robert Franklin Stanchfield, MD
• Christa Noel Stanchuk, D.C.
• Steven Stanchuk, D.C.
• Danielle Irene Standley, LAC
• Teresa Diane Stanley, PHARMD, BCPS
• Jamison Starbuck, ND
• Heather Lee Starkey
• Starr Counseling and Addiction Services
• Edna Starr, LACE

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, 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 Sep 25, 2008; 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.