Dogwood Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DOGWOOD COUNSELING PLLC

Practice address

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

Phone

(406) 210-0035

Fax

(406) 635-8695

NPI assigned

Nov 21, 2022

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina K Newell Wyatt, LCSWNPI 1154503134

Title

Owner

Phone

(406) 210-0035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina K Newell Wyatt, LCSW

  • Clinical Social Worker
  • Polson, MT
  • NPI 1154503134
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1215646971",
    "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": {
        "organization_name": "DOGWOOD COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "NEWELL WYATT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-210-0035",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ken Druyvestein, RPH
• Lesley E. Dubay, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.