CALVIN WIESE (NPI# 1821654518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821654518 |
| Entity Type | Individual |
| Full Name | CALVIN WIESE |
| Credential | LCSW |
| Practice Address |
107 Dilworth St Glendive MT 59330-2053 |
| Practice Telephone | 4063458901 |
| Mailing Telephone | 4063458901 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
121574 | MA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
42779 | MT | Behavioral Health & Social Service Providers |
| Street Address |
107 DILWORTH ST |
| City | GLENDIVE |
| State | MT |
| Zip Code | 59330-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374130 | Ericca S Berry | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2005-05-27 |
| 1770965972 | Nena Panasuk | Family Medicine | 107 Dilworth St, Glendive, MT 59330 | 2015-06-24 |
| 1598009441 | Kayli Carmen Christophel | Physician Assistant | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-11-15 |
| 1386990869 | Christopher Henderson | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-08-02 |
| 1205107448 | Carolyn Jo Johnson | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2012-01-19 |
| 1841510104 | Elizabeth Rouene Brown | Obstetrics & Gynecology | 107 Dilworth St, Glendive, MT 59330-2053 | 2010-06-09 |
| 1649433293 | Chrystal Lynn Potter | Internal Medicine | 107 Dilworth St, Glendive, MT 59330-2053 | 2008-07-03 |
| 1538293311 | Gabert Medical Services,inc | Durable Medical Equipment & Medical Supplies | 107 Dilworth St, Glendive, MT 59330-2053 | 2007-03-15 |
| 1457424244 | Charlene Pontoriero | Nurse Practitioner | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-11-17 |
| 1699845461 | Gabert Medical Services, Inc | Pharmacy | 107 Dilworth St, Glendive, MT 59330-2053 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312224 | Ashley Grammens | Pharmacist | 307 Harmon Street, Glendive, MT 59330 | 2018-04-05 |
| 1154651016 | Debra Linn | Speech-Language Pathologist | 14 Big Sky Drive, Glendive, MT 59330 | 2009-12-28 |
| 1790293116 | Jessica Marie Domire | Nurse Practitioner | 202 Prospect Dr, Glendive, MT 59330 | 2018-01-19 |
| 1891938882 | Monica M Melchior | Social Worker | 807 Clark Ave, Glendive, MT 59330-1400 | 2009-04-07 |
| 1275593410 | Ft Reynolds | Pharmacy | 1014 W Bell St, Glendive, MT 59330-1502 | 2006-03-23 |
| 1346296266 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 307 Harmon St, Glendive, MT 59330-1510 | 2006-05-25 |
| 1275870909 | Steve Knoop | Pharmacist | 307 Harmon St, Glendive, MT 59330-1510 | 2013-01-15 |
| 1972030708 | Calkins Dental Office, LLC | Clinic/Center | 116 N Meade Ave, Glendive, MT 59330-1604 | 2017-05-11 |
| 1598177115 | Matthew Don Calkins | Dentist | 116 N Meade Ave, Glendive, MT 59330-1604 | 2014-06-02 |
| 1770831539 | Coburn Dental Office LLC | Clinic/Center | 116 N Meade Ave, Glendive, MT 59330-1604 | 2012-08-27 |
| Find all providers in zip 59330 | ||||
| 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 |
|---|---|---|---|---|
| 1891938882 | Monica M Melchior | Social Worker | 807 Clark Ave, Glendive, MT 59330-1400 | 2009-04-07 |
| 1982073755 | Glendive Counseling Center | Social Worker | 115 W Valentine St, Suite 2, Glendive, MT 59330-1666 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184913 | Elizabeth R. Rogers | Social Worker | 1315 Lewis Ave, Billings, MT 59102-4237 | 2020-11-04 |
| 1386244812 | Scott Mcfarlane | Social Worker | 20 W Evergreen Dr, Evergreen, MT 59901-2810 | 2020-10-26 |
| 1528667227 | Joy A Valentine | Social Worker | 2246 Boot Hill Ct, Bozeman, MT 59715-7248 | 2020-10-22 |
| 1801493804 | Autumn Benedetti | Social Worker | 43 Baron Ln, Eureka, MT 59917-9021 | 2020-10-03 |
| 1235736406 | Tawnya Cazier | Social Worker | 1325 River St Apt B, Missoula, MT 59801-1795 | 2020-10-01 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1689287708 | Middle Cottonwood Counseling Inc | Social Worker | 201 Evergreen Dr Ste A, Bozeman, MT 59715-2461 | 2020-08-28 |
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1326650557 | Bailie Hillen | Social Worker | 1025 N Rodney St, Helena, MT 59601-3550 | 2020-08-19 |
| 1992316608 | Melissa Sundberg | Social Worker | 5751 Daisy Ln, Florence, MT 59833-6533 | 2020-08-14 |
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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.