Individual provider Active NPI

Erica Sandiland, LCSW

  • Social Worker
  • Missoula, MT
National Provider Identifier
1831511195
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1056 Issued in MT
Practice address
1001 SW Higgins Ave Ste 206
Missoula, MT 59803-1340
Phone
(406) 431-9401
Fax
(888) 248-9203
NPI assigned
Jan 6, 2014
Last updated
Apr 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1056 MT Primary

Addresses

Primary practice location

1001 SW Higgins Ave Ste 206
Missoula, MT 59803-1340

Mailing address

1001 SW Higgins Ave Ste 206
Missoula, MT 59803-1340
Phone (064) 431-9401

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819002811 MT Practitioner - Clinical Social Worker 1052649738 Reassigns benefits to 1 organization
Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitch Guerette LCSW LLCGroup PAC ID 4284978008, 2 clinicians

Practice addresses (Care Compare)

1001 SW Higgins Ave
Missoula, MT 59803-1340
Phone (406) 381-3473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1056MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mitch Guerette LCSW LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

1001 SW Higgins Ave
Ste 206
Missoula, MT 59803
Phone (406) 381-3473

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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1831511195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW HIGGINS AVE STE 206",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031340",
            "telephone_number": "064-431-9401",
            "fax_number": "888-248-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW HIGGINS AVE STE 206",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031340",
            "telephone_number": "406-431-9401",
            "fax_number": "888-248-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDILAND",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.