Individual provider Active NPI

Neil E Kidwell, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1730417577
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
906 Issued in MT
Practice address
3212 1St Ave S
Billings, MT 59101-3824
Phone
(406) 245-2751
Fax
(406) 256-7026
NPI assigned
Dec 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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 906 MT Primary

Addresses

Primary practice location

3212 1St Ave S
Billings, MT 59101-3824

Mailing address

4514 Mitchell Ave
Billings, MT 59101-4922
Phone (406) 860-0430

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
I20140307001552 MT Practitioner - Clinical Social Worker 7315177565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1220 Ave C
Apt F
Billings, MT 59102-3200
Phone (406) 860-0430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
906MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neil E Kidwell LLC Clinical CurrentSince Nov 23, 2013 Accepting new patients

Locations

1220 Avenue C
Apt F
Billings, MT 59102
Phone (406) 855-0013

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1730417577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 MITCHELL AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591014922",
            "telephone_number": "406-860-0430",
            "fax_number": "406-252-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 1ST AVE S",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591013824",
            "telephone_number": "406-245-2751",
            "fax_number": "406-256-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "NEIL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.