Active NPI
Katherine Boyd
- Clinical Social Worker
- Whitefish, MT
National Provider Identifier
1962086454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-38995
- Practice address
- 633 Colorado Ave
Whitefish, MT 59937-3408 - Phone
- (406) 249-8694
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-38995 | MT | MD | Clinical Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-38995 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
633 Colorado Ave
Whitefish, MT 59937-3408
Mailing address
633 Colorado Ave
Whitefish, MT 59937-3408
Phone (406) 249-8694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2021.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1962086454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 COLORADO AVE",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599373408",
"telephone_number": "406-249-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 COLORADO AVE",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599373408",
"telephone_number": "406-249-8694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-38995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.