Individual provider Active NPI

Victoria F. Kenyon, LCSW

  • Clinical Social Worker
  • Livingston, MT
National Provider Identifier
1659957769
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210602001736 MT Practitioner - Clinical Social Worker 5496154098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bighorn Valley Health Center, Incorporated CurrentSince Mar 5, 2021 Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince Mar 5, 2021 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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.