Healthcare Provider Details

I. General information

NPI: 1124601083
Provider Name (Legal Business Name): CAROLINE SCHUCK ROBBINS LCSW, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARLY ROBBINS

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W MAIN ST STE 2B3
BOZEMAN MT
59715-5016
US

IV. Provider business mailing address

105 W MAIN ST STE 2B3
BOZEMAN MT
59715-5016
US

V. Phone/Fax

Practice location:
  • Phone: 406-551-6510
  • Fax:
Mailing address:
  • Phone: 406-551-6510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001862
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-LAC-LIC-62273
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCSW.09926791
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCSW-LIC-55279
License Number StateMT
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: