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NPI Code Detail

MEDICARE: JASON NORMAN LCSW

MEDICARE: JASON NORMAN LCSW
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
11041C0700XClinical Social WorkerBBH-LCSW-LIC-48352MT

General Provider Information

NPI Number : 1356611230
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON NORMAN LCSW
Provider Business Mailing Address
First Line : 316 N 3RD ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2480
Country : US
Telephone Number : 406-541-0032
Fax Number : 406-541-0036
Provider Business Practice Location Address
First Line : 316 N 3RD ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2480
Country : US
Telephone Number : 406-541-0032
Fax Number : 406-541-0036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2012
Last Update Date : 02/03/2026

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