Individual provider Active NPI

Kelly Leigh Killham, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1972820223
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
939 Issued in MT
Practice address
500 S Lamborn St
Helena, MT 59601-5417
Phone
(406) 442-7920
Fax
(406) 442-7949
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 939 MT Primary

Addresses

Primary practice location

500 S Lamborn St
Helena, MT 59601-5417

Mailing address

516 Fuller Ave Ste 1
Helena, MT 59601-3421
Phone (406) 431-9045

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
I20220616001475 MT Practitioner - Clinical Social Worker 1355720665 Practice locations: Helena, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

516 Fuller Ave
Suite 1
Helena, MT 59601-3421
Phone (406) 431-9045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
939MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Killham Clinical PastSince Jan 25, 2022 Accepting new patients

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, 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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1972820223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 FULLER AVE STE 1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013421",
            "telephone_number": "406-431-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S LAMBORN ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015417",
            "telephone_number": "406-442-7920",
            "fax_number": "406-442-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLHAM",
        "first_name": "KELLY",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.