Christina K Newell Wyatt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-57488 Issued in MT

Practice address

302 1St St W Ste 104
Polson, MT 59860-2602

Phone

(406) 210-0035

Fax

(406) 635-8695

NPI assigned

Nov 30, 2007

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, MT2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dogwood Counseling PLLC

  • Clinical Social Worker
  • Polson, MT
  • NPI 1215646971
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1154503134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1382",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598601382",
            "telephone_number": "406-210-0035",
            "fax_number": "406-635-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 1ST ST W STE 104",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602602",
            "telephone_number": "406-210-0035",
            "fax_number": "406-635-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL WYATT",
        "first_name": "CHRISTINA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-57488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH0150",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Monroe Morgan, MD
• Ylena Nicole Morigeau
• Mountain Shore PLLC (Bayview Dental)
• Leeanna Irvine Muzquiz, MD
• My Hearing Centers, LLC
• Norman Collins II DC (Polson Family Chiropractic)
• Tabitha Normandeau
• Shannon Nunlist, PT
• Michael Thomas O'Rourke
• Theresa Oakland, M.S. LAC

• Clinical Social Worker in Polson, MT
• Providers in Polson, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.