| Erin Braaksma, Lcsw, Pllc | |
|
1227 N 14th Ave Ste 3 Bozeman MT 59715-3282 | |
| (406) 920-0948 | |
| Not Available |
| Full Name | Erin Braaksma, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1227 N 14th Ave Ste 3, Bozeman, Montana |
| Authorized Official Name and Position | Erin Braaksma (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4069200948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Braaksma, Lcsw, Pllc 322 Pine Creek Dr Bozeman MT 59718-8628 Ph: (406) 581-2794 | Erin Braaksma, Lcsw, Pllc 1227 N 14th Ave Ste 3 Bozeman MT 59715-3282 Ph: (406) 920-0948 |
| NPI Number | 1740852623 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Medicare PECOS PAC ID | 4880066380 |
|---|---|
| Medicare Enrollment ID | O20230209002165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740852623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erin Braaksma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063059129 PECOS PAC ID: 1052783552 Enrollment ID: I20230209002217 |
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