Individual provider Active NPI

Lisa Brubaker, LCSW

  • Clinical Social Worker
  • Big Sky, MT
National Provider Identifier
1922402882
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-8150 Issued in MT
Practice address
334 Town Center Ave
Big Sky, MT 59716
Phone
(406) 414-5000
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Big Sky Medical Center LLC 21 clinicians

Practice addresses (Care Compare)

334 Town Ctr Ave
Big Sky, MT 59716
Phone (406) 995-6995

Merit-based Incentive Payment System (MIPS)

Final score
80.25 of 100Reported as group
Quality
83.73
Promoting interoperability
100
Improvement activities
40
Cost
50.42

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150417001380 MT Practitioner - Clinical Social Worker 2264750496 Reassigns benefits to 1 organization
Practice locations: Ennis, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Aug 2, 2021 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Aug 2, 2021 Accepting new patients
Madison Valley Hospital, Inc. Past Accepting new patients

Locations

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-8150 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

334 Town Center Ave
Big Sky, MT 59716

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902

Other practice location 1

22 Bronco Road
Ennis, MT 59729
Phone (406) 670-4546

Other practice location 2

5 Sunrise Loop Ste G
Ennis, MT 59729-8009
Phone (406) 670-4546

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7193589MedicaidMT

Other names 1

NPPES NPI Registry
  • Lisa Brubaker Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2025.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1922402882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 TOWN CENTER AVE",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "59716",
            "telephone_number": "406-414-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bronco Road",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "MT",
            "postal_code": "59729",
            "country_code": "US",
            "telephone_number": "406-670-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Sunrise Loop Ste G",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "MT",
            "postal_code": "597298009",
            "country_code": "US",
            "telephone_number": "406-670-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-8150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7193589",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BRUBAKER",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Big Sky, MT

Sources for this page

Verify at the official NPI Registry.