Active NPI
John Edward Sheehan III, LCSW
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1831657717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 37179
- Practice address
- 520 S 3Rd St W
Missoula, MT 59801 - Phone
- (406) 209-8826
- NPI assigned
- Mar 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 37179 | MT | Primary |
Addresses
Primary practice location
520 S 3Rd St W
Missoula, MT 59801
Mailing address
PO Box 5631
Missoula, MT 59806-5631
Phone (406) 396-5179
Other practice location 1
1801 S 11th St W
Missoula, MT 59801-4833
Phone (406) 396-5179
Other practice location 2
1801 S 11th St W
Missoula, MT 59801-4833
Phone (406) 396-5179
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | johnsheehanlcsw@gmail.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
520 S 3Rd St W
Missoula, MT 59801-2518
Phone (406) 209-8826
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37179 | MT | MD | Clinical Social Worker |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Missoula, MT
- NPI 1306453584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1831657717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5631",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598065631",
"telephone_number": "406-396-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S 3RD ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59801",
"telephone_number": "406-209-8826"
}
],
"practiceLocations": [
{
"address_1": "1801 S 11th St W",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598014833",
"country_code": "US",
"telephone_number": "406-396-5179",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 S 11th St W",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598014833",
"country_code": "US",
"telephone_number": "406-396-5179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEEHAN",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-09",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "37179",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "johnsheehanlcsw@gmail.com",
"affiliation": "N",
"address_1": "520 S 3rd St W",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "59801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.