Provider Demographics
NPI:1033255302
Name:PIERCE, VIRGINIA I (LCSW)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:I
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:RIGHTMIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:520 WICKS LN STE 8C
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-4464
Mailing Address - Country:US
Mailing Address - Phone:406-252-1444
Mailing Address - Fax:406-254-2729
Practice Address - Street 1:520 WICKS LN STE 8C
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-4464
Practice Address - Country:US
Practice Address - Phone:406-252-1444
Practice Address - Fax:406-254-2729
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCSW 5391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT71313OtherBLUECROSS BLUESHIELD
CA140651OtherVALUE OPTIONS
MT0000501398Medicaid
MT71313OtherBLUECROSS BLUESHIELD