Individual provider Active NPI

Kelly Williams, MSW, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1043050297
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-71085 Issued in MT
Practice address
1645 Avenue D Ste C
Billings, MT 59102-3043
Phone
(406) 272-2511
Fax
(406) 204-0474
NPI assigned
May 27, 2024
Last updated
May 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-71085 MT Primary

Addresses

Primary practice location

1645 Avenue D Ste C
Billings, MT 59102-3043

Mailing address

1645 Avenue D Ste C
Billings, MT 59102-3043
Phone (406) 272-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1645 Ave D
Suite C
Billings, MT 59102

2475 Village LN
Suite 302
Billings, MT 59102-2497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-71085MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sentinel Mental Health Inc Clinical CurrentSince Jun 2, 2024 Accepting new patients

Locations

1645 Avenue D
Ste C
Billings, MT 59102
Phone (406) 272-2511

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1043050297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 AVENUE D STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023043",
            "telephone_number": "406-272-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 AVENUE D STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023043",
            "telephone_number": "406-272-2511",
            "fax_number": "406-204-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-71085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.