Individual provider Active NPI

Kinley Mae Pope, SWLC

  • Social Worker
  • Missoula, MT
National Provider Identifier
1023953601
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BBH-SWLC-LIC-80832 Issued in MT
Practice address
4720 23Rd Ave
Missoula, MT 59803-1137
Phone
(406) 207-3220
NPI assigned
Apr 21, 2026
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BBH-SWLC-LIC-80832 MT Primary

Addresses

Primary practice location

4720 23Rd Ave
Missoula, MT 59803-1137

Mailing address

4720 23Rd Ave
Missoula, MT 59803-1137
Phone (406) 207-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-SWLC-LIC-80832MTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1023953601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 23RD AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031137",
            "telephone_number": "406-207-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 23RD AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031137",
            "telephone_number": "406-207-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "KINLEY",
        "middle_name": "MAE",
        "credential": "SWLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "BBH-SWLC-LIC-80832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.