KERRY N. HERNDON (NPI# 1023456571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023456571 |
| Entity Type | Individual |
| Full Name | KERRY N. HERNDON |
| Credential | LCSW, LAC |
| Practice Address |
800 Kensington Ave Suite Ll2 Missoula MT 59801-5674 |
| Mailing Address |
800 Kensington Ave Ste Ll2 Missoula MT 59801-5670 |
| Practice Telephone | 4065525237 |
| Mailing Telephone | 4065525237 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2723 | MT | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12178 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609491414 | Kerry Herndon | Occupational Therapy Assistant | 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 | 2020-06-08 |
| Street Address |
800 KENSINGTON AVE SUITE LL2 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143484 | Hospice of Missoula LLC | Hospice Care, Community Based | 800 Kensington Ave, Suite 209, Missoula, MT 59801-5674 | 2005-09-06 |
| 1538784467 | Alex Lopach | Speech-Language Pathologist | 800 Kensington Ave, Missoula, MT 59801-5674 | 2020-06-16 |
| 1366078610 | Stephanie Ammons Isbell | Counselor | 800 Kensington Ave, Missoula, MT 59801-5674 | 2020-03-18 |
| 1104326974 | Blackwell Behavioral Health | Counselor | 800 Kensington Ave, Missoula, MT 59801-5674 | 2018-02-17 |
| 1265960090 | Kiley Eversole | Physical Therapist | 800 Kensington Ave, Missoula, MT 59801-5674 | 2017-05-24 |
| 1881120327 | Speech Savvy, Pllc | Speech-Language Pathologist | 800 Kensington Ave, Suite 100, Missoula, MT 59801-5674 | 2017-05-03 |
| 1770022162 | Haleyann Broth | Occupational Therapist | 800 Kensington Ave, #100, Missoula, MT 59801-5674 | 2017-02-17 |
| 1437693991 | Kellen Puskar | Massage Therapist | 800 Kensington Ave, Suite 201, Missoula, MT 59801-5674 | 2016-12-16 |
| 1831647700 | Kristianne Chavez | Massage Therapist | 800 Kensington Ave, Suite 201, Missoula, MT 59801-5674 | 2016-09-20 |
| 1053869933 | Megan Stedman | Massage Therapist | 800 Kensington Ave, Suite 201, Missoula, MT 59801-5674 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736406 | Tawnya Cazier | Social Worker | 1325 River St Apt B, Missoula, MT 59801-1795 | 2020-10-01 |
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1063031557 | Taresa Janelle Spade | Social Worker | 613 Dixon Ave, Missoula, MT 59801-8623 | 2020-04-14 |
| 1518596006 | Heather Kim Stokes | Social Worker | 6309 Hillview Way, Missoula, MT 59803-3374 | 2020-04-06 |
| 1316582414 | Tiffany Becker | Social Worker | 4214 Hermione Ln, Missoula, MT 59808-5255 | 2019-11-12 |
| 1164066882 | Katherine Kosma Schwartz Lcsw Lac LLC | Social Worker | 2809 Great Northern Loop Ste 300, Missoula, MT 59808-1749 | 2019-11-06 |
| 1154972479 | Christopher E Clasby | Social Worker | 700 Sw Higgins Ave Ste 101, Missoula, MT 59803-1489 | 2019-09-27 |
| 1730730466 | Barbara Nan Cox | Social Worker | 706 Kensington Ave, Missoula, MT 59801-5720 | 2019-09-24 |
| 1750931234 | Melanie Rose Trost | Social Worker | 2308 Raymond Ave, Missoula, MT 59802-3510 | 2019-09-16 |
| 1124678180 | Jaclyn Grogan | Social Worker | 2339 Classic Ct, Missoula, MT 59801-1354 | 2019-09-12 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.