AMANDA JANE FAHLSTROM


Address: 699 Farmhouse Ln, Bozeman, MT 59715-9402
Phone: 4065566500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
37551 MT Behavioral Health & Social Service Providers

Office Location

Street Address 699 FARMHOUSE LN
City BOZEMAN
State MT
Zip Code 59715-9402

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BOZEMAN
Zip Code 59715

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Dataset Information

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.

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