Individual provider Active NPI

Katelyn McAree

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1962871673
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12330 Issued in MT
Practice address
3700 S Russell St
Missoula, MT 59801-8574
Phone
(406) 209-8082
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

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 12330 MT Primary

Addresses

Primary practice location

3700 S Russell St
Missoula, MT 59801-8574

Mailing address

PO Box 425
Missoula, MT 59806-0425
Phone (406) 209-8082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210609002497 KS Practitioner - Clinical Social Worker 7315249646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12330MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
As a River Counseling, PLLC Clinical CurrentSince Feb 1, 2024 Accepting new patients
Southwest Guidance Center Past Accepting new patients

Locations

3700 S Russell St
Missoula, MT 59801
Phone (406) 209-8082

3700 S Russell St
Ste 100B
Missoula, MT 59801
Phone (406) 830-3333

Organizations & group practices 3

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1962871673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060425",
            "telephone_number": "406-209-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018574",
            "telephone_number": "406-209-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAREE",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "12330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.