MEDICARE: LORETTA J. STIFFLER MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	369	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447207865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETTA J. STIFFLER MSW

Provider Business Mailing Address
First Line	:	1129 STEELE ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-2135
Country	:	US
Telephone Number	:	406-490-0493
Fax Number	:

Provider Business Practice Location Address
First Line	:	1129 STEELE ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-2135
Country	:	US
Telephone Number	:	406-490-0493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	04/06/2023

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