Individual provider Active NPI

Cristina Fowler, MSW, SWLC

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1902372899
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-SWLC-LIC-17315 Issued in MT
Practice address
901 N Harris St
Helena, MT 59601-3000
Phone
(406) 442-6950
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BBH-SWLC-LIC-17315MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina Fowler, LLC Clinical Current
since Aug 23, 2020
Accepting new patients
FCH Outreach Services Clinical Past Accepting new patients
Florence Crittenton Home and Services Inc. Clinical Past Accepting new patients

Locations

1305 11th Ave
Helena, MT 59601
Phone (406) 431-2908

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-SWLC-LIC-17315 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

901 N Harris St
Helena, MT 59601-3000

Mailing address

1305 11TH Ave
Helena, MT 59601-3919
Phone (406) 442-6950

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0000320195MedicaidMT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2020.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1902372899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 11TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013919",
            "telephone_number": "406-442-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N HARRIS ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013000",
            "telephone_number": "406-442-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "CRISTINA",
        "credential": "MSW, SWLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-17315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000320195",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 17, 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.

Verify at the official NPI Registry.