Active NPI
Terri L Christy, LCSW
- Clinical Social Worker
- Kalispell, MT
National Provider Identifier
1992759385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 679
- Practice address
- 200 Heritage Way
Kalispell, MT 59901-3146 - Phone
- (406) 756-3950
- Fax
- (406) 756-3957
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 679 | MT | Primary |
Addresses
Primary practice location
200 Heritage Way
Kalispell, MT 59901-3146
Mailing address
200 Heritage Way
Kalispell, MT 59901-3146
Phone (406) 756-3950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742400 | Other | MT | BLUE CROSS |
| 503802 | Medicaid | MT |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Logan Health | |
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Logan Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 679 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1992759385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HERITAGE WAY",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013146",
"telephone_number": "406-756-3950",
"fax_number": "406-756-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HERITAGE WAY",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013146",
"telephone_number": "406-756-3950",
"fax_number": "406-756-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTY",
"first_name": "TERRI",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2023-11-27",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "742400",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "503802",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Logan Health",
"address_1": "200 Heritage Way",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013146",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Logan Health",
"address_1": "200 Heritage Way",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013146",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.