Individual provider Active NPI

Kevin M Shon, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1891570735
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BHH-LCSW-LIC-64539 Issued in MT
Practice address
44 N Last Chance Gulch Ste 14
Helena, MT 59601-4158
Phone
(406) 729-6645
NPI assigned
Aug 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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 BHH-LCSW-LIC-64539 MT Primary

Addresses

Primary practice location

44 N Last Chance Gulch Ste 14
Helena, MT 59601-4158

Mailing address

929 10TH Ave
Helena, MT 59601-4429
Phone (406) 729-6645

Other practice location 1

929 10th Ave
Helena, MT 59601-4429
Phone (571) 364-3083

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
I20240304003979 MT Practitioner - Clinical Social Worker 5698110385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BHH-LCSW-LIC-64539MTMDClinical Social Worker

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1891570735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 10TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014429",
            "telephone_number": "406-729-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N LAST CHANCE GULCH STE 14",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014158",
            "telephone_number": "406-729-6645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014429",
            "country_code": "US",
            "telephone_number": "571-364-3083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHON",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BHH-LCSW-LIC-64539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.