Active NPI
Victoria F. Kenyon, LCSW
- Clinical Social Worker
- Livingston, MT
National Provider Identifier
1659957769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 126 S Main St
Livingston, MT 59047-2624 - Phone
- (404) 823-6314
- NPI assigned
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- No
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.
-
- Federally Qualified Health Center (FQHC)
- Livingston, MT
- NPI 1487741005
-
- Federally Qualified Health Center (FQHC)
- Belgrade, MT
- NPI 1366049967
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210602001736 | MT | Practitioner - Clinical Social Worker | 5496154098 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bighorn Valley Health Center, Incorporated | Current | Accepting new patients | |
| Bighorn Valley Health Center, Incorporated | Current | Accepting new patients |
Locations
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
112 W Lewis St
Livingston, MT 59047
Phone (406) 222-1111
126 S Main St
Livingston, MT 59047
Phone (406) 222-1111
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
126 S Main St
Livingston, MT 59047-2624
Mailing address
126 S Main St
Livingston, MT 59047-2624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2021.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1659957769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 S MAIN ST",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S MAIN ST",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472624",
"telephone_number": "404-823-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENYON",
"first_name": "VICTORIA",
"middle_name": "F.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-19",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.