Active NPI
Kaitlin Spencer
- Clinical Social Worker
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-72895
- Practice address
- 2721 Connery Way
Missoula, MT 59808-1951 - Phone
- (406) 282-4979
- NPI assigned
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CB60971891 | WA | |
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-72895 | MT | Primary |
Addresses
Primary practice location
2721 Connery Way
Missoula, MT 59808-1951
Mailing address
PO Box 3291
Missoula, MT 59806-3291
Phone (406) 282-4979
Other practice location 1
185 NE Snohomish Ave Unit 724
White Salmon, WA 98672
Phone (509) 396-6592
Other practice location 2
609 Northshore Dr
Bellingham, WA 98226-4414
Phone (360) 676-6000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 W Broadway St
Missoula, MT 59802-3918
Phone (406) 728-1809
1150 Sherwood St
Missoula, MT 59802-2377
Phone 40625847894430
2809 Connery Way
Suite B
Missoula, MT 59808-1955
Phone (406) 219-1267
323 W Alder St
Missoula, MT 59802-4123
Phone (406) 258-4789
401 Railroad St W
Missoula, MT 59802-4178
Phone (406) 258-4789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB60971891 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annie Florin | Clinical | Current | Accepting new patients |
| Annie Florin | Clinical | Current | Accepting new patients |
| Aware Inc | Current | Accepting new patients | |
| Lake Whatcom Residential & Treatment Center | Mental Health | Past | Accepting new patients |
| Columbia River Gorge Behavior Services, LLC | Past | Accepting new patients | |
| Lake Whatcom Residential & Treatment Center | Past | Accepting new patients |
Locations
205 E Park Ave
Anaconda, MT 59711
Phone (406) 563-8117
3335 Lt Moss Rd
Missoula, MT 59804
Phone (406) 543-2202
2809 Connery Way
Ste B
Missoula, MT 59808
Phone (208) 502-0664
Organizations & group practices 7
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.
-
- Clinical Social Worker
- Missoula, MT
- NPI 1881386076
-
- Federally Qualified Health Center (FQHC)
- Missoula, MT
- NPI 1437196243
-
- Community/Behavioral Health Agency
- Anaconda, MT
- NPI 1427003862
-
- Clinical Social Worker
- Missoula, MT
- NPI 1689348914
-
- Behavior Analyst
- White Salmon, WA
- NPI 1154835841
-
- Community/Behavioral Health Agency
- Bellingham, WA
- NPI 1043281736
Mental Health
-
- Case Management Agency
- Bellingham, WA
- NPI 1780991844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1154871002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3291",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598063291",
"telephone_number": "406-282-4979",
"fax_number": "855-975-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 CONNERY WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081951",
"telephone_number": "406-282-4979"
}
],
"practiceLocations": [
{
"address_1": "185 NE Snohomish Ave Unit 724",
"address_purpose": "LOCATION",
"city": "White Salmon",
"state": "WA",
"postal_code": "98672",
"country_code": "US",
"telephone_number": "509-396-6592",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 Northshore Dr",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982264414",
"country_code": "US",
"telephone_number": "360-676-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "KAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-04",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB60971891",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-72895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.