Camilla O. Bergstrom LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

327 Issued in MT

Legal business name

CAMILLA O. BERGSTROM LCSW PC

Practice address

208 N 29TH St
Suites 236-237
Billings, MT 59101-1985

Phone

(406) 899-1008

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Camilla O. Hurd, LCSWNPI 1194808949

Title

President

Phone

(406) 736-5613

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camilla O Hurd, LCSW

  • Clinical Social Worker
  • Billings, MT
  • NPI 1194808949
  Authorized official Same address or phone
• Richard Andrew Hurd, M.D.

  • Emergency Medicine Physician
  • Belt, MT
  • NPI 1013342377
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013081637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 EVANS RICEVILLE RD",
            "city": "BELT",
            "state": "MT",
            "postal_code": "594128400",
            "telephone_number": "406-736-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N 29TH ST",
            "address_2": "SUITES 236-237",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011985",
            "telephone_number": "406-899-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLA O. BERGSTROM LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-736-5613",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0503308",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callais Counseling
• Jennifer Lynn Callais, LCPC
• Laura Anne Callan
• Heather Calvert, M.D.
• Jason Calvin
• Jessica Lynn Camp
• Andrew Campbell, PA
• Paige Campbell, DMD
• Tyajean Olive Campbell, MD
• Lawrence A Campodonico, M.D.

• Clinical Social Worker in Billings, MT
• Providers in Billings, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.