AMANDA JANE FAHLSTROM (NPI# 1962061887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962061887 |
| Entity Type | Individual |
| Full Name | AMANDA JANE FAHLSTROM |
| Credential | LCSW |
| Practice Address |
699 Farmhouse Ln Bozeman MT 59715-9402 |
| Practice Telephone | 4065566500 |
| Practice Fax Number | 4063330627 |
| Mailing Telephone | 4065566500 |
| Mailing Fax Number | 4065228361 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
37551 | MT | Behavioral Health & Social Service Providers |
| Street Address |
699 FARMHOUSE LN |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-9402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649588963 | Jean Lydia Moylan | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2010-09-21 |
| 1114524956 | Kirsten Theresa Burkart | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2020-10-05 |
| 1518564541 | Stevie-leigh Danae Haughian | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2020-10-02 |
| 1609423003 | Karen Monica Patty | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2019-08-20 |
| 1083182513 | Brooke Huffman | Registered Nurse | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-11-02 |
| 1053801894 | Larisa Lynn Hammond | Nurse Practitioner | 699 Farmhouse Ln, Bozeman, MT 59715 | 2018-05-17 |
| 1447748603 | Brandy Renee Houser | Social Worker | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-04-24 |
| 1841790524 | Melody Jackson | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-02-19 |
| 1164920088 | Jentry Ann Wheaton | Nurse Practitioner | 699 Farmhouse Ln, Bozeman, MT 59715 | 2018-01-25 |
| 1790291615 | Kassandra Haughton | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| 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 |
|---|---|---|---|---|
| 1528667227 | Joy A Valentine | Social Worker | 2246 Boot Hill Ct, Bozeman, MT 59715-7248 | 2020-10-22 |
| 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 |
| 1750999868 | Kathleen Michele Hurley | Social Worker | 300 N Willson Ave Ste 3005-1, Bozeman, MT 59715-3537 | 2020-07-15 |
| 1760013981 | Brandon Kwasnik | Social Worker | 141 Discovery Dr Ste 103, Bozeman, MT 59718-4134 | 2020-01-27 |
| 1063059129 | Erin Braaksma | Social Worker | 322 Pine Creek Dr, Bozeman, MT 59718-8628 | 2019-12-06 |
| 1992340988 | Clayleen Pipinich | Social Worker | 2725 Jackrabbit Ln Ste 1, Bozeman, MT 59718-5717 | 2019-11-13 |
| 1801431986 | Jodie L. Sipes | Social Worker | 607 Professional Dr Ste 3, Bozeman, MT 59718-3949 | 2019-11-12 |
| 1801448618 | Jenna Samantha Huey | Social Worker | 2725 Jackrabbit Ln, Bozeman, MT 59718-5716 | 2019-07-11 |
| 1558921809 | Jennifer Rose Fiedler | Social Worker | 3525 S 3rd Rd, Bozeman, MT 59715-6610 | 2019-06-18 |
| Find all providers in BOZEMAN | ||||
Please comment or provide details below to improve the information on AMANDA JANE FAHLSTROM.
| 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.