Individual provider Active NPI

Kaela Imm, MSW, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1679169585
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
110 Grand Ave
Billings, MT 59101-6021
Phone
(406) 272-2532
Fax
(406) 534-2880
NPI assigned
Dec 15, 2020
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

110 Grand Ave
Billings, MT 59101-6021

Mailing address

PO Box 22214
Billings, MT 59104-2214
Phone (406) 272-2532

Other identifiers 1

IdentifierTypeStateIssuer
42706OtherMTST LICENSE

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302002942 MT Practitioner - Clinical Social Worker 1850707662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

944 Ave B
Billings, MT 59102-3346
Phone (406) 272-2532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Roots Counseling, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

110 Grand Ave
Billings, MT 59101
Phone (406) 672-9923

944 Avenue B
Billings, MT 59102
Phone (406) 259-1250

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1679169585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22214",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591042214",
            "telephone_number": "406-272-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591016021",
            "telephone_number": "406-272-2532",
            "fax_number": "406-534-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMM",
        "first_name": "KAELA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LICENSE",
            "identifier": "42706",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.