Elkhorn Professional Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELKHORN PROFESSIONAL SERVICES

Practice address

101 E Broadway St Ste 405
Missoula, MT 59802-4510

Phone

(406) 531-0702

NPI assigned

Jan 21, 2019

Last updated

Jan 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Forest Henning, LCSW LMFTNPI 1871763391

Title

Therapist

Phone

(406) 531-0702

Specialties & licenses 1

Addresses

Locations

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.

• Forest Daniel Henning, LCSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1871763391
  NPD Authorized official

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1760956098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4821",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598064821",
            "telephone_number": "406-531-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY ST STE 405",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024510",
            "telephone_number": "406-531-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHORN PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "HENNING",
        "authorized_official_first_name": "FOREST",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "406-531-0702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elison
• Lily Elison, LMT
• Elizabeth Kennard, PLLC
• Elizabeth L. Suh, M.D. PLLC
• Elizabeth Urschel, LCSW, LLC
• Ellen S Dewolfe MSN P.C.
• Mark William Elliott, M.D.
• William Otto Elliott, DDS
• Heather Inge Ellsworth, LAC
• Scott Eugen Elrod, M.D.

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.