Kelsey Ann Ehlert, LCSW

Individual provider Active NPI Clinical Social Worker · Winifred, MT

NPI 1043082969 · NPPES record last updated Oct 24, 2023

Key facts

NPI
1043082969
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
48745 (MT)
Practice address
410 Reyleck St
Winifred, MT 59489-8075
Phone
(406) 350-0782
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
48745MTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 48745 MT Yes

Addresses

Primary practice location

410 Reyleck St
Winifred, MT 59489-8075

Mailing address

PO Box 72
Winifred, MT 59489-0072
Phone (406) 350-0782

Other providers in Winifred, MT

All providers in Winifred, MT · Clinical Social Worker in Montana

Sources for this page

Verify at the official NPI Registry.