Individual provider Active NPI

Kysa E Rasmussen, LCSW

  • Clinical Social Worker
  • Sidney, MT
National Provider Identifier
1083071187
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16010 Issued in MT
Practice address
1100 5TH St SW
Sidney, MT 59270-3643
Phone
(406) 433-7539
Fax
(406) 433-9186
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 16010 MT Primary

Addresses

Primary practice location

1100 5TH St SW
Sidney, MT 59270-3643

Mailing address

1100 5TH St SW
Sidney, MT 59270-3643
Phone (406) 433-7539

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
I20200218000936 MT Practitioner - Clinical Social Worker 4385071158 Practice locations: Sidney, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1405 4TH St SW
Suite 2
Sidney, MT 59270-3515

216 E Main
Suite 2
Sidney, MT 59270-3515
Phone 40664340954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16010MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roger a Anderson O.D. P.C. PastSince Aug 1, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1083071187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 5TH ST SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703643",
            "telephone_number": "406-433-7539",
            "fax_number": "406-433-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 5TH ST SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703643",
            "telephone_number": "406-433-7539",
            "fax_number": "406-433-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KYSA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "16010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, MT

Sources for this page

Verify at the official NPI Registry.