Individual provider Active NPI

Tom Gutschenritter, LCSW

  • Clinical Social Worker
  • Kalispell, MT
National Provider Identifier
1992109375
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-8615 Issued in MT
Practice address
307 1St Ave E Ste 5
Kalispell, MT 59901-4965
Phone
(406) 781-8581
NPI assigned
Oct 14, 2014
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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 8615 MT
Clinical Social Worker 1041C0700X SWP-LCSW-LIC-8615 MT Primary

Addresses

Primary practice location

307 1St Ave E Ste 5
Kalispell, MT 59901-4965

Mailing address

307 1St Ave E Ste 5
Kalispell, MT 59901-4965
Phone (406) 781-8581

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
I20170613002162 MT Practitioner - Clinical Social Worker 1355619420 Reassigns benefits to 1 organization
Practice locations: Kalispell, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

307 1St Ave E
Suite 5
Kalispell, MT 59901-4965
Phone (406) 781-8581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8615MTMDClinical Social Worker
SWP-LCSW-LIC-8615MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Gutschenritter LCSW CurrentSince Jan 1, 2022 Accepting new patients

Locations

307 1st Ave E
Ste 5
Kalispell, MT 59901
Phone (406) 781-8581

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1992109375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 1ST AVE E STE 5",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014965",
            "telephone_number": "406-781-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 1ST AVE E STE 5",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014965",
            "telephone_number": "406-781-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSCHENRITTER",
        "first_name": "TOM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "8615",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-8615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.