Living Well, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-12274 Issued in MT

Legal business name

LIVING WELL, LLC

Practice address

400 W Main St Ste 203
Hamilton, MT 59840-2443

Phone

(406) 363-2873

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Kellie Mildenberger, LCSW

Title

Owner/Therapist

Phone

(406) 363-2873

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett Gordon Mildenberger, O.D.

  • Optometrist
  • Corvallis, MT
  • NPI 1578755856
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1639686462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1707",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598401707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 203",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402443",
            "telephone_number": "406-363-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598402443",
            "country_code": "US",
            "telephone_number": "406-363-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVING WELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "MILDENBERGER",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "406-363-2873",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-12274",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7731-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine E Lewis, SLP
• Thor M Liebert, N.D.
• Life Source LLC
• Life'S Journey LLC
• John List
• Samantha J Lommasson, CPM, DEM
• Linda Looser, PT
• Barbara Lucas, M.A.
• Rachel Leigh Lund
• Joni Madruga

• Clinical Social Worker in Hamilton, MT
• Providers in Hamilton, 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 Mar 28, 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.