Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Jane Fahlstrom, LCSW

Individual provider Clinical Social Worker · NPI 1962061887

Amanda Jane Fahlstrom, LCSW is a Clinical Social Worker in Bozeman, Montana. Qualified in 2016, 10 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
10
Licensed in
MT
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

145 Mill Town Loop Ste B
Bozeman, MT 59718-5144
Phone: (406) 219-1350
Fax: (406) 219-0749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 37551 (MT)

Record details

NPI number1962061887
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 13, 2019
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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