Individual provider Active NPI

Kaitlin Spencer

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1154871002
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-72895 Issued in MT
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

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219003556 MT Practitioner - Clinical Social Worker 0749717304 Reassigns benefits to 3 organizations

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
Partnership Health Center IncGroup PAC ID 6103843479, 51 clinicians
Annie FlorinGroup PAC ID 5496152571, 4 clinicians

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

LicenseStateTypeSpecialty
CB60971891WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Florin Clinical CurrentSince Jul 7, 2024 Accepting new patients
Annie Florin Clinical CurrentSince Oct 15, 2024 Accepting new patients
Aware Inc CurrentSince Feb 16, 2026 Accepting new patients
Lake Whatcom Residential & Treatment Center Mental Health PastSince Oct 27, 2007 Accepting new patients
Columbia River Gorge Behavior Services, LLC PastSince Aug 1, 2019 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.

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

Verify at the official NPI Registry.