Active NPI
Head and Heart
- Clinical Social Worker
- Kalispell, MT
National Provider Identifier
1669144812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEAD AND HEART
- Practice address
- 215 3Rd Ave E
Kalispell, MT 59901-4531 - Phone
- (406) 871-5605
- NPI assigned
- Oct 5, 2021
- Last updated
- Aug 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colby Wood, LCSW
- Title
- Executive Director
- Phone
- (406) 871-5605
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
215 3Rd Ave E
Kalispell, MT 59901-4531
Mailing address
15141 Mt Highway 35
Bigfork, MT 59911-8482
National Provider Directory
National Provider DirectoryLocations
215 3rd Ave E
Kalispell, MT 59901
Phone (403) 217-5225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Bigfork, MT
- NPI 1629529730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661904000000",
"number": "1669144812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15141 MT HIGHWAY 35",
"city": "BIGFORK",
"state": "MT",
"postal_code": "599118482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 3RD AVE E",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014531",
"telephone_number": "406-871-5605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAD AND HEART",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-05",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "COLBY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "406-871-5605",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.