John Craig Lilburn, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

921 Issued in MT

Practice address

111 N Higgins Ave
Ste 422
Missoula, MT 59802-4437

Phone

(406) 529-2619

Fax

(406) 258-0491

NPI assigned

Jul 29, 2010

Last updated

Jul 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MT

  Medicare reassignment NPD
• Aware Inc

  • Community/Behavioral Health Agency
  • Anaconda, MT
  • NPI 1427003862
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1881908028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7363",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598077363",
            "telephone_number": "406-529-2619",
            "fax_number": "406-258-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HIGGINS AVE",
            "address_2": "STE 422",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024437",
            "telephone_number": "406-529-2619",
            "fax_number": "406-258-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILBURN",
        "first_name": "JOHN",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881908028",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Chiropractic LLC
• Lift Aesthetic Surgery
• Stephanie Lynn Lighter, CNM, WHNP
• Lighthouse Speech Therapy PLLC
• Lightspace, Inc.
• Hannah Lillie, P-LCPC, NCC
• Jamie Maria Lilly, PA
• Lily Gervais LCSW, Lac PLLC
• Limen Integrative Therapy
• Lincare Inc.

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.