Individual provider Active NPI

Erin Pelham, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1043978042
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1120 Cedar St
Missoula, MT 59802-3911
Phone
(406) 541-4673
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-55616 MT
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1120 Cedar St
Missoula, MT 59802-3911

Mailing address

624 W Artemos Dr
Missoula, MT 59803-1504
Phone (814) 449-7516

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eerven@windsofchangemontana.com Direct Winds of Change

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609003035 MT Practitioner - Clinical Social Worker 9537526348 Reassigns benefits to 1 organization
Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1705 Bow St
Missoula, MT 59801-5652
Phone (406) 219-1407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Pelham LLC Clinical CurrentSince Jun 4, 2025 Accepting new patients
HKJ Inc CurrentSince May 19, 2023 Accepting new patients
HKJ Inc CurrentSince May 19, 2023 Accepting new patients

Locations

1120 Cedar St
Missoula, MT 59802
Phone (406) 541-4673

3000 Palmer St
Missoula, MT 59808
Phone (406) 541-4673

1705 Bow St
Missoula, MT 59801
Phone (406) 219-1407

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1043978042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W ARTEMOS DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031504",
            "telephone_number": "814-449-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CEDAR ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023911",
            "telephone_number": "406-541-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELHAM",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-55616",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eerven@windsofchangemontana.com",
            "affiliation": "Y",
            "affiliationName": "Winds of Change",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1120 Cedar St",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598023911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.