Active NPI
Chantelle Plauche', MSW, LCSW
- Clinical Social Worker
- Livingston, MT
National Provider Identifier
1932339629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 891
- Practice address
- 124 S Main St
203
Livingston, MT 59047-2624 - Phone
- (406) 223-3621
- NPI assigned
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 891 | MT | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 13496 | MT |
Addresses
Primary practice location
124 S Main St
203
Livingston, MT 59047-2624
Mailing address
124 S Main St
203
Livingston, MT 59047-2624
Phone (406) 223-3621
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
124 S Main St
Suite 203
Livingston, MT 59047-2664
Phone (406) 224-1276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891 | MT | MD | Independent Medical Examiner Chiropractor |
| 13496 | MT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L Esprit PC | Clinical | Current | Accepting new patients |
Locations
111 N 3rd St
Ste 1
Livingston, MT 59047
120 S Main St
Livingston, MT 59047
Phone (406) 222-7641
111 N 3rd St
Livingston, MT 59047
Phone (406) 222-1846
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": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1932339629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 S MAIN ST",
"address_2": "203",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472624",
"telephone_number": "406-223-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S MAIN ST",
"address_2": "203",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472624",
"telephone_number": "406-223-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAUCHE'",
"first_name": "CHANTELLE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "891",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MT",
"license": "13496",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.