Nellie Faith O'Reilly, MSW, LCSW, RPT
Individual provider Active NPI Clinical Social Worker · Lakeside, MT
NPI 1497773980 · NPPES record last updated Apr 9, 2018
Key facts
- NPI
- 1497773980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 685 (MT)
- Practice address
- 203 Rimini Rd
Lakeside, MT 59922-9623 - Phone
- (406) 750-5784
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 685 | MT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 685 | MT | Yes |
Addresses
Primary practice location
203 Rimini Rd
Lakeside, MT 59922-9623
Mailing address
203 Rimini Rd
Lakeside, MT 59922-9623
Phone (406) 750-5784
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4047201 | Other | BHP PREFERRED ONE | |
| 321G6OR | Other | BCBS | |
| 136290 | Other | U CARE | |
| 974602100 | Other | MHCP |
Other providers in Lakeside, MT
- Lakeside Pharmacy LLC
- Lakeside Qru, Inc
- Abby Gene Lambeth
- Grace Matheson
- Michael P Moore
- Jonathan Carl Otto
- Pharmfill Inc
- Kimberly Rae Ring
- Chelsey Lynne Spence
- Adam Earl Strand
All providers in Lakeside, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.