Individual provider Active NPI

Arthur Justin Short, MPH, MSW, LCSW

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1922404862
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-8308 Issued in MT
Practice address
141 Discovery Dr
Unit 113
Bozeman, MT 59718-6995
Phone
(406) 548-5487
NPI assigned
Nov 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWP-LCSW-LIC-8308 MT Primary

Addresses

Primary practice location

141 Discovery Dr
Unit 113
Bozeman, MT 59718-6995

Mailing address

PO Box 11076
Bozeman, MT 59719-1076
Phone (406) 548-5487

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
I20150128000853 MT Practitioner - Clinical Social Worker 3274857982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Discovery Dr
Suite 113
Bozeman, MT 59718-4134
Phone (406) 548-5487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWP-LCSW-LIC-8308MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Counseling Services, LLC Clinical CurrentSince Jan 12, 2015 Accepting new patients

Locations

141 Discovery Dr
Ste 113
Bozeman, MT 59718
Phone (406) 404-9014

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1922404862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11076",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597191076",
            "telephone_number": "406-548-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DISCOVERY DR",
            "address_2": "UNIT 113",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186995",
            "telephone_number": "406-548-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "ARTHUR",
        "middle_name": "JUSTIN",
        "credential": "MPH, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-8308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.