Individual provider Active NPI

Shelby Louann Lodholz, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1902654684
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70279 Issued in MT
Practice address
4411 Blue Devils Way Apt 5
Billings, MT 59106-3723
Phone
(573) 513-2216
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 32509 MN
Clinical Social Worker 1041C0700X 2021033853 MO
Clinical Social Worker 1041C0700X 6801113955 MI
Clinical Social Worker 1041C0700X 70279 MT Primary

Addresses

Primary practice location

4411 Blue Devils Way Apt 5
Billings, MT 59106-3723

Mailing address

4411 Blue Devils Way Apt 5
Billings, MT 59106-3723
Phone (573) 513-2216

Other names 1

  • Shelby Reed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801113955MIMDClinical Social Worker
2021033853MOMDClinical Social Worker
70279MTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1902654684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BLUE DEVILS WAY APT 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591063723",
            "telephone_number": "573-513-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 BLUE DEVILS WAY APT 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591063723",
            "telephone_number": "573-513-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODHOLZ",
        "first_name": "SHELBY",
        "middle_name": "LOUANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "32509",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021033853",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113955",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "70279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "REED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.