Individual provider Active NPI

Matthew Bryan Luvisi, MSW, LCSW

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1861161788
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50482 Issued in MT
Practice address
602 S Ferguson Ave Ste 6
Bozeman, MT 59718-6483
Phone
(406) 404-6291
Fax
(406) 551-4624
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 50482 MT Primary

Addresses

Primary practice location

602 S Ferguson Ave Ste 6
Bozeman, MT 59718-6483

Mailing address

PO Box 6154
Bozeman, MT 59771-6154
Phone (406) 404-6291

Other identifiers 1

IdentifierTypeStateIssuer
50482OtherMTMONTANA BOARD OF BEHAVIORAL HEALTH

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
I20220126001167 MT Practitioner - Clinical Social Worker 3678961489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 S Ferguson Ave
Suite 6
Bozeman, MT 59718-6483
Phone (406) 404-6291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Systems Counseling and Consulting LLC Clinical CurrentSince Jul 14, 2021 Accepting new patients

Locations

602 S Ferguson Ave
Ste 6
Bozeman, MT 59718
Phone (406) 219-7432

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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1861161788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6154",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597716154",
            "telephone_number": "406-404-6291",
            "fax_number": "406-551-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S FERGUSON AVE STE 6",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186483",
            "telephone_number": "406-404-6291",
            "fax_number": "406-551-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUVISI",
        "first_name": "MATTHEW",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "50482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA BOARD OF BEHAVIORAL HEALTH",
            "identifier": "50482",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.