Individual provider Active NPI

Krystle Gawel-Kulesa, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1992458772
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55003 Issued in MT
Practice address
2755 Colonial Dr
Helena, MT 59601-4926
Phone
(406) 444-7500
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 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 55003 MT Primary

Addresses

Primary practice location

2755 Colonial Dr
Helena, MT 59601-4926

Mailing address

PO Box 5539
Helena, MT 59604-5539
Phone (406) 444-7500

Other identifiers 1

IdentifierTypeStateIssuer
BBH-LCW-LIC-55003OtherMTMONTANA STATE LICENSE

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
I20240611004128 MT Practitioner - Clinical Social Worker 0648712174 Practice locations: Helena, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 S Ewing St
Suite 108
Helena, MT 59601-5750
Phone (406) 641-5987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55003MTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1992458772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5539",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596045539",
            "telephone_number": "406-444-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 COLONIAL DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014926",
            "telephone_number": "406-444-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWEL-KULESA",
        "first_name": "KRYSTLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "55003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE LICENSE",
            "identifier": "BBH-LCW-LIC-55003",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.