Wellspring Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11384 Issued in MT

Legal business name

WELLSPRING THERAPEUTIC SERVICES

Practice address

725 6TH Ave E
Kalispell, MT 59901-5005

Phone

(406) 314-0152

NPI assigned

Jul 16, 2018

Last updated

Jul 16, 2018By 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

Lori Mariani

Title

Owner/Operator

Phone

(406) 314-0152

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1558847384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 6TH AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015005",
            "telephone_number": "406-314-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 6TH AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015005",
            "telephone_number": "406-314-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "MARIANI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "406-314-0152"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "11384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve W Weber, M.D.
• Zachary Weber, MD
• Bethany Ann Weiler, M.D.
• Mark T Welch, MD
• Ame Marie Wells, FNP
• Jennifer Welzel, LMT
• Danyal Kathleen Wendt, SWLC
• Shaunda Wenger
• Kiley Wensel, CNM
• Ashley N Wenz, DPT

• Clinical Social Worker in Kalispell, MT
• Providers in Kalispell, 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 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.