GLENN BLUMENSON (NPI# 1851805436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851805436 |
| Entity Type | Individual |
| Full Name | GLENN BLUMENSON |
| Credential | LCSW |
| Practice Address |
111 N Higgins Ave Ste 409 Missoula MT 59802-4433 |
| Mailing Address |
603 S 3rd St W Apt 2 Missoula MT 59801-2538 |
| Practice Telephone | 4067282539 |
| Practice Fax Number | 4063295663 |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
BBH-LCSW-LIC-234 | MT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 N Higgins Ave Ste 409, Missoula, MT 598024433 | 4068230108 |
| Street Address |
111 N HIGGINS AVE STE 409 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881908028 | John Craig Lilburn | Social Worker | 111 N Higgins Ave, Ste 422, Missoula, MT 59802-4437 | 2010-07-29 |
| 1881139384 | Ohana Providers, Pllc | Clinic/Center | 111 N Higgins Ave, Ste 600, Missoula, MT 59802-4437 | 2016-12-20 |
| 1144609421 | Mary Shull | Technician/Technologist | 111 N Higgins Ave, Suite 107, Missoula, MT 59802-4437 | 2015-05-20 |
| 1316204829 | Whitewater Rescue Institute, Inc. | Ambulance | 111 N Higgins Ave, Missoula, MT 59802-4437 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| 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 |
|---|---|---|---|---|
| 1235736406 | Tawnya Cazier | Social Worker | 1325 River St Apt B, Missoula, MT 59801-1795 | 2020-10-01 |
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1063031557 | Taresa Janelle Spade | Social Worker | 613 Dixon Ave, Missoula, MT 59801-8623 | 2020-04-14 |
| 1518596006 | Heather Kim Stokes | Social Worker | 6309 Hillview Way, Missoula, MT 59803-3374 | 2020-04-06 |
| 1316582414 | Tiffany Becker | Social Worker | 4214 Hermione Ln, Missoula, MT 59808-5255 | 2019-11-12 |
| 1164066882 | Katherine Kosma Schwartz Lcsw Lac LLC | Social Worker | 2809 Great Northern Loop Ste 300, Missoula, MT 59808-1749 | 2019-11-06 |
| 1154972479 | Christopher E Clasby | Social Worker | 700 Sw Higgins Ave Ste 101, Missoula, MT 59803-1489 | 2019-09-27 |
| 1730730466 | Barbara Nan Cox | Social Worker | 706 Kensington Ave, Missoula, MT 59801-5720 | 2019-09-24 |
| 1750931234 | Melanie Rose Trost | Social Worker | 2308 Raymond Ave, Missoula, MT 59802-3510 | 2019-09-16 |
| 1124678180 | Jaclyn Grogan | Social Worker | 2339 Classic Ct, Missoula, MT 59801-1354 | 2019-09-12 |
| Find all providers in MISSOULA | ||||
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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.