JORDAN SIERRA PRUSSACK (NPI# 1194350496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194350496 |
Entity Type | Individual |
Full Name | JORDAN SIERRA PRUSSACK |
Credential | LCSW |
Practice Address |
1417 9th St S Ste 300 Great Falls MT 59405-4509 |
Mailing Address |
6593 Lake Forest Dr Nine Mile Fls WA 99026-9544 |
Practice Telephone | 5034491807 |
Mailing Telephone | 5034491807 |
Enumeration Date | 2020-03-06 |
Last Update Date | 2020-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
BBH-LCSW-LIC-333 | MT | Behavioral Health & Social Service Providers |
Street Address |
1417 9TH ST S STE 300 |
City | GREAT FALLS |
State | MT |
Zip Code | 59405-4509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
Find all providers in zip 59405 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548758048 | Zoe L Ingalls | Social Worker | 1500 10th Ave S Ste 200, Great Falls, MT 59405-2619 | 2018-04-30 |
1700312865 | Desiree Marie Gaines | Social Worker | 5305 3rd Ave S, Center for Mental Health/chief Joseph, Great Falls, MT 59405-1719 | 2017-05-11 |
1710433446 | Elizabeth Christine Seau | Social Worker | 600 Central Ave Ste 407, Great Falls, MT 59401-3143 | 2016-09-01 |
1114390838 | Counseling and Coping Strategies LLC | Social Worker | 10104 Walker Lake Dr, Great Falls, VA 22066-3502 | 2015-11-03 |
1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
1578839437 | Amia R Watson | Social Worker | 3808 6th Ave S, Great Falls, MT 59405-3602 | 2012-03-26 |
1720389109 | Jessica Nicole Dewese | Social Worker | 5225 Sweatt Mccollough Rd, Great Falls, SC 29055-8912 | 2010-11-16 |
1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
1558692350 | Joseph Boland | Social Worker | 1604 Central Ave, Great Falls, MT 59401-3838 | 2010-01-19 |
1952549628 | Elizabeth A Crabtree | Social Worker | 600 Central Ave Ste 305, Great Falls, MT 59401-3157 | 2009-02-03 |
Find all providers in GREAT FALLS |
City | GREAT FALLS |
Zip Code | 59405 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.