Lisa Hermansson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

50057 Issued in MT

Practice address

520 32ND St N
Great Falls, MT 59401-2127

Phone

(630) 862-4881

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aware Inc

  • Community/Behavioral Health Agency
  • Anaconda, MT
  • NPI 1427003862

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1952040560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053744",
            "telephone_number": "630-861-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 32ND ST N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012127",
            "telephone_number": "630-862-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANSSON",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "50057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "50057",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmie Ann Henry
• Amanda Anne Henzel, MD
• Genevieve Hepworth, LCPC
• Michael E. Herbert, MD
• Nicole Lynn Herda, DPT
• Stacy C Hermiller, PAC
• David Hernandez Angeles, RPH
• Vanessa Claudia Hernandez, MSOT, OTR/L
• Vilma Herrera, AGNP
• Mark Hertenstein

• Clinical Social Worker in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.

Verify at the official NPI Registry.