Active NPI
Amy C. Traynham Feragen, LCSW
- Clinical Social Worker
- Helena, MT
National Provider Identifier
1861773376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1023
- Practice address
- 900 N Montana Ave
Ste B7
Helena, MT 59601 - Phone
- (406) 594-7109
- Fax
- (406) 494-1724
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 1023 | MT | Primary |
Addresses
Primary practice location
900 N Montana Ave
Ste B7
Helena, MT 59601
Mailing address
PO Box 9658
Helena, MT 59604
Phone (406) 781-3342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477745370 | Medicaid | MT |
Other names 1
- Amy C. Traynham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023 | MT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1861773376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9658",
"city": "HELENA",
"state": "MT",
"postal_code": "59604",
"telephone_number": "406-781-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N MONTANA AVE",
"address_2": "STE B7",
"city": "HELENA",
"state": "MT",
"postal_code": "59601",
"telephone_number": "406-594-7109",
"fax_number": "406-494-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAYNHAM FERAGEN",
"first_name": "AMY",
"middle_name": "C.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "1023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477745370",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "TRAYNHAM",
"middle_name": "C.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.