Individual provider Active NPI

Kayla Supple, LCSW

  • Clinical Social Worker
  • Glendive, MT
National Provider Identifier
1821942749
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-87883 Issued in MT
Practice address
1515 W Bell St
Glendive, MT 59330-3240
Phone
(406) 815-5831
NPI assigned
Feb 26, 2026
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 BBH-LCSW-LIC-87883 MT Primary

Addresses

Primary practice location

1515 W Bell St
Glendive, MT 59330-3240

Mailing address

1515 W Bell St
Glendive, MT 59330-3240
Phone (406) 815-5831

Other practice location 1

300 College Dr
Glendive, MT 59330-1405
Phone (406) 815-5831

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
I20260501002321 MT Practitioner - Clinical Social Worker 1850869496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

207 W Main St
Suite 5
Lewistown, MT 59457-2718

2475 Village LN
Suite 302
Billings, MT 59102-2497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-87883MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bighorn Valley Health Center Incorporated Past Accepting new patients

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, 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": "1772064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1821942749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W BELL ST",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593303240",
            "telephone_number": "406-815-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W BELL ST",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593303240",
            "telephone_number": "406-815-5831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 College Dr",
            "address_purpose": "LOCATION",
            "city": "Glendive",
            "state": "MT",
            "postal_code": "593301405",
            "country_code": "US",
            "telephone_number": "406-815-5831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPPLE",
        "first_name": "KAYLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-87883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendive, MT

Sources for this page

Verify at the official NPI Registry.