Provider Demographics
NPI:1306902408
Name:PATTERSON-CROSKEY, JONI ANN (LCSW)
Entity type:Individual
Prefix:
First Name:JONI
Middle Name:ANN
Last Name:PATTERSON-CROSKEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BLACKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-7609
Mailing Address - Country:US
Mailing Address - Phone:406-587-3792
Mailing Address - Fax:406-587-3792
Practice Address - Street 1:321 E MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4731
Practice Address - Country:US
Practice Address - Phone:406-587-3792
Practice Address - Fax:406-587-3792
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0500004Medicaid
MT70033OtherBLUE CROSS BLUE SHIELD