Individual provider Active NPI

Clayleen Kors

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1992340988
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-SWLC-LIC-30780 Issued in MT
Practice address
602 S Ferguson Ave Ste 6
Bozeman, MT 59718-6483
Phone
(406) 548-4345
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 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 BBH-SWLC-LIC-30780 MT Primary

Addresses

Primary practice location

602 S Ferguson Ave Ste 6
Bozeman, MT 59718-6483

Mailing address

PO Box 496
Belgrade, MT 59714-0496

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
I20201030002106 MT Practitioner - Clinical Social Worker 8123438231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-SWLC-LIC-30780MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Counseling, LLC Clinical CurrentSince Jan 1, 2021 Accepting new patients

Locations

2246 Boothill Ct
Ste 4
Bozeman, MT 59715
Phone (406) 285-1730

602 S Ferguson Ave
Ste 6
Bozeman, MT 59718
Phone (406) 219-7432

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1992340988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597140496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S FERGUSON AVE STE 6",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186483",
            "telephone_number": "406-548-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORS",
        "first_name": "CLAYLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-30780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.