Active NPI
Kimberley Irene Weldon, L.C.S.W.
- Clinical Social Worker
- Helena, MT
National Provider Identifier
1649486358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5850
- Practice address
- 900 Jackson St
Center for Mental Health
Helena, MT 59601-3428 - Phone
- (406) 443-7151
- Fax
- (406) 443-3420
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34002790A | IN | |
| Clinical Social Worker | 1041C0700X | 5850 | MT | Primary |
Addresses
Primary practice location
900 Jackson St
Center for Mental Health
Helena, MT 59601-3428
Mailing address
PO Box 3089
Center for Mental Health
Great Falls, MT 59403-3089
Phone (406) 443-7151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000700953 | Other | MT | BLUE CROSS-SHIELD OF MONTANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002790A | IN | MD | Clinical Social Worker |
| 5850 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Montana Mental Health Center | Clinical | Past | Accepting new patients |
| Center for Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Great Falls, MT
- NPI 1710450044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Missoula, MT
- NPI 1912079328
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1649486358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3089",
"address_2": "CENTER FOR MENTAL HEALTH",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594033089",
"telephone_number": "406-443-7151",
"fax_number": "406-443-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 JACKSON ST",
"address_2": "CENTER FOR MENTAL HEALTH",
"city": "HELENA",
"state": "MT",
"postal_code": "596013428",
"telephone_number": "406-443-7151",
"fax_number": "406-443-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON",
"first_name": "KIMBERLEY",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002790A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "5850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-SHIELD OF MONTANA",
"identifier": "0000700953",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.