Individual provider Active NPI

Chantelle Plauche', MSW, LCSW

  • Clinical Social Worker
  • Livingston, MT
National Provider Identifier
1932339629
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
891 Issued in MT
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

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000599 MT Practitioner - Clinical Social Worker 7012042302 Reassigns benefits to 1 organization
Practice locations: Livingston, MT

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

LicenseStateTypeSpecialty
891MTMDIndependent Medical Examiner Chiropractor
13496MTMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
L Esprit PC Clinical CurrentSince Feb 25, 2020 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

Verify at the official NPI Registry.