Elder Tree LLC
Organization Active NPI Clinical Social Worker · Townsend, MT
NPI 1922881663 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1922881663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ELDER TREE LLC
- Practice address
- 303 Broadway St
Townsend, MT 59644-2223 - Phone
- (406) 813-1559
- Fax
- (406) 302-0901
- NPI assigned
- Aug 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Aubrey Hancock, MSW, LCSW
- Title
- Owner/Manager
- Phone
- (406) 813-1559
Practitioners 1
-
Aubrey Hancock, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240109002991 | MT | Part B Supplier - Clinic/Group Practice | 8123479615 |
Receives reassigned benefits from 1 practitioner Practice locations: Townsend, MT |
National Provider Directory
Locations
303 Broadway St
Townsend, MT 59644
Phone (406) 813-1559
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
303 Broadway St
Townsend, MT 59644-2223
Mailing address
132 S Oak St
Townsend, MT 59644-2604
Phone (406) 813-1559
Other names
- Elder Tree
Other providers in Townsend, MT
- Cohesion Through Compassion Counseling LLC
- County of Broadwater
- Joseph Phillip Darrah
- Kristiane Darrah
- Dr. Gary J. Litle, Chiropractic Physician, P.C.
- Paul Engstrom
- Family Medical Clinic PLLC
- Joseph Daniel Flechas
- Aubrey Hancock
- Kate P Humphrey
All providers in Townsend, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.