Provider Demographics
NPI:1790465151
Name:SCHAAK, JUSTEN MARK (LCSW, LAC)
Entity type:Individual
Prefix:
First Name:JUSTEN
Middle Name:MARK
Last Name:SCHAAK
Suffix:
Gender:
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 TRADE WIND LN APT 12
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-4633
Mailing Address - Country:US
Mailing Address - Phone:406-579-4885
Mailing Address - Fax:
Practice Address - Street 1:430 E PARK ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-2755
Practice Address - Country:US
Practice Address - Phone:406-222-2812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT63794101YA0400X
MT726971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)