Elaine Rene Maggi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

42586 Issued in MT

Practice address

350 Louisiana Ave
Libby, MT 59923-2130

Phone

(406) 334-3608

NPI assigned

Oct 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1952886145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "TROY",
            "state": "MT",
            "postal_code": "599350148",
            "telephone_number": "406-334-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LOUISIANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232130",
            "telephone_number": "406-334-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGI",
        "first_name": "ELAINE",
        "middle_name": "RENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "42586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpmcmedicalrecords@cpmcdirect.org",
            "affiliation": "N",
            "address_1": "350 Louisiana Ave",
            "city": "Libby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599232130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Michael L Mahoney, MD
• Jay Maloney, MD
• Jessica L Marsh, PTA
• Mavis Vaillancourt LCSW Lac LLC
• Dorothy McBride

• Clinical Social Worker in Libby, MT
• Providers in Libby, 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 Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.