Individual provider Active NPI

Rebecca Sulages, LCSW

  • Clinical Social Worker
  • Livingston, MT
National Provider Identifier
1871166751
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
103 1/2 S Main St Ste 11
Livingston, MT 59047-2693
Phone
(406) 223-3313
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50054 MT
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

103 1/2 S Main St Ste 11
Livingston, MT 59047-2693

Mailing address

PO Box 564
Livingston, MT 59047-0564
Phone (406) 223-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50054MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nicolle Bellerive LCSW LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

126 E Callender St
Livingston, MT 59047
Phone (406) 223-3313

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1871166751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590470564",
            "telephone_number": "406-223-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 1/2 S MAIN ST STE 11",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472693",
            "telephone_number": "406-223-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULAGES",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "50054",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.