Individual provider Active NPI

Kimberly Anne Monroe

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1508358037
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBHSWLCLIC53918 Issued in MT
Practice address
1601 2ND Ave N Ste 518
Great Falls, MT 59401-3288
Phone
(406) 899-3566
Fax
(406) 545-2276
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X BBHSWLCLIC53918 MT Primary

Addresses

Primary practice location

1601 2ND Ave N Ste 518
Great Falls, MT 59401-3288

Mailing address

5413 7TH Ave S
Great Falls, MT 59405-3929
Phone (406) 899-3566

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
I20241106002485 MT Practitioner - Clinical Social Worker 9234663741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Mental HealthGroup PAC ID 3072416676, 13 clinicians

Practice addresses (Care Compare)

915 1St Ave S
Great Falls, MT 59401-3705
Phone (406) 791-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBHSWLCLIC53918MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Clinical CurrentSince Sep 20, 2024 Accepting new patients

Locations

621 1st Ave S
Great Falls, MT 59401
Phone (406) 443-7151

915 1st Ave S
Great Falls, MT 59401
Phone (406) 443-7151

Organizations & group practices 1

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1508358037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 7TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053929",
            "telephone_number": "406-899-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 518",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013288",
            "telephone_number": "406-899-3566",
            "fax_number": "406-545-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBHSWLCLIC53918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.