Active NPI
Tia Utzinger PLLC
- Clinical Social Worker
- Bozeman, MT
National Provider Identifier
1821475765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 555LCSW
- Legal business name
- TIA UTZINGER PLLC
- Practice address
- 501 E Peach St
Bozeman, MT 59715-3000 - Phone
- (406) 579-9011
- NPI assigned
- Apr 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tia Ebba Utzinger, L.C.S.W.
- Title
- Therapist
- Phone
- (406) 579-9011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 555LCSW | MT | Primary |
Addresses
Primary practice location
501 E Peach St
Bozeman, MT 59715-3000
Mailing address
PO Box 6087
Bozeman, MT 59771-6087
Phone (406) 579-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
501 E Peach St
Bozeman, MT 59715
Phone (406) 579-9011
614 S Ferguson Ave
Ste 3
Bozeman, MT 59718
Phone (406) 579-9011
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bozeman, MT
- NPI 1346636099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603670400000",
"number": "1821475765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6087",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597716087",
"telephone_number": "406-579-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E PEACH ST",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153000",
"telephone_number": "406-579-9011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIA UTZINGER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-29",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A",
"authorized_official_last_name": "UTZINGER",
"authorized_official_first_name": "TIA",
"authorized_official_middle_name": "EBBA",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "406-579-9011",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "555LCSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.