Dana Marie Harris, SWLC

Individual provider Active NPI Clinical Social Worker · Deer Lodge, MT

NPI 1295543726 · NPPES record last updated Dec 30, 2024

Key facts

NPI
1295543726
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
BBH-SWLC-LIC-50071 (MT)
Practice address
709 Missouri Ave
Deer Lodge, MT 59722-1156
Phone
(406) 876-5717
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BBH-SWLC-LIC-50071MTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-SWLC-LIC-50071 MT Yes

Addresses

Primary practice location

709 Missouri Ave
Deer Lodge, MT 59722-1156

Mailing address

209 Clark St
Deer Lodge, MT 59722-1121
Phone (406) 214-6487

Other providers in Deer Lodge, MT

All providers in Deer Lodge, MT · Clinical Social Worker in Montana

Sources for this page

Verify at the official NPI Registry.