Diane I. Banks-Mohr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

711LCSW Issued in MT

Practice address

84 Ohio St
Ste 3
Butte, MT 59701-1806

Phone

(406) 291-5805

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

State licenses

• Diane Inez Montoya Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2023.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1861544348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 OHIO ST",
            "address_2": "STE 3",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011806",
            "telephone_number": "406-646-2470",
            "fax_number": "406-299-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 OHIO ST",
            "address_2": "STE 3",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011806",
            "telephone_number": "406-291-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS-MOHR",
        "first_name": "DIANE",
        "middle_name": "I.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "711LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMT",
            "identifier": "70226",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28236",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MONTOYA",
            "middle_name": "INEZ",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Butte, MT
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.

Verify at the official NPI Registry.