Individual provider Active NPI

Nicolle Michelle Bellerive, LCSW

  • Clinical Social Worker
  • Livingston, MT
National Provider Identifier
1831730548
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27825 Issued in MT
Practice address
330 S 3Rd St
Livingston, MT 59047-3406
Phone
(406) 223-9891
NPI assigned
Oct 3, 2019
Last updated
May 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27825 MT Primary

Addresses

Primary practice location

330 S 3Rd St
Livingston, MT 59047-3406

Mailing address

PO Box 135
Livingston, MT 59047-0135
Phone (406) 223-9891

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Livingston Health Information Exchange (HIE)

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
I20210428002894 MT Practitioner - Clinical Social Worker 6901215193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston HealthcareGroup PAC ID 5991613598, 66 clinicians

Practice addresses (Care Compare)

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27825MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare CurrentSince Jul 1, 2021 Accepting new patients
Livingston Healthcare Current Accepting new patients
Livingston Healthcare CurrentSince Jul 1, 2021 Accepting new patients

Locations

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

Organizations & group practices 4

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653868800000",
    "number": "1831730548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590470135",
            "telephone_number": "406-223-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 3RD ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473406",
            "telephone_number": "406-223-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLERIVE",
        "first_name": "NICOLLE",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "27825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Livingston",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "330 S 3rd St",
            "city": "Livingston",
            "state": "MT",
            "country_code": "US",
            "postal_code": "590473406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.