Jessica Kay Bambock, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Kalispell, MT

NPI 1992588487 · NPPES record last updated Jan 30, 2026

Key facts

NPI
1992588487
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
72397 (MT)
Practice address
2624 US Highway 2 E
Kalispell, MT 59901-2362
Phone
(406) 273-1947
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
72397MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Branch Therapy Clinical Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 72397 MT Yes

Addresses

Primary practice location

2624 US Highway 2 E
Kalispell, MT 59901-2362

Mailing address

2624 US Highway 2 E
Kalispell, MT 59901-2362
Phone (406) 253-7038

Other providers in Kalispell, MT

All providers in Kalispell, MT · Clinical Social Worker in Montana

Sources for this page

Verify at the official NPI Registry.