Active NPI
Camilla O Hurd, LCSW
- Clinical Social Worker
- Billings, MT
National Provider Identifier
1194808949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MT327
- Practice address
- 208 N 29TH St
Suites 236-237
Billings, MT 59101-1985 - Phone
- (406) 899-1008
- Fax
- (406) 736-5321
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MT327 | MT | Primary |
Addresses
Primary practice location
208 N 29TH St
Suites 236-237
Billings, MT 59101-1985
Mailing address
533 Evans Riceville Rd
Belt, MT 59412-8400
Phone (406) 736-5613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050-3308 | Medicaid | MT |
Other names 1
- Mrs. Camilla O. Bergstrom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 327 | MT | MD | Psychologist |
| MT327 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194808949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 EVANS RICEVILLE RD",
"city": "BELT",
"state": "MT",
"postal_code": "594128400",
"telephone_number": "406-736-5613",
"fax_number": "406-736-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N 29TH ST",
"address_2": "SUITES 236-237",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591011985",
"telephone_number": "406-899-1008",
"fax_number": "406-736-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURD",
"first_name": "CAMILLA",
"middle_name": "O",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "MT327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050-3308",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAMILLA",
"last_name": "BERGSTROM",
"middle_name": "O.",
"prefix": "MRS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.