Healthcare Provider Details

I. General information

NPI: 1588528525
Provider Name (Legal Business Name): JESSICA BUCIUMAN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 GRAND AVE
BILLINGS MT
59101-5923
US

IV. Provider business mailing address

304 GRAND AVE
BILLINGS MT
59101-5923
US

V. Phone/Fax

Practice location:
  • Phone: 406-600-1157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number84698
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: