KELLIE D MILDENBERGER


Address: 473 Cayuse Trl, Corvallis, MT 59828-9259
Phone: 4063632873

KELLIE D MILDENBERGER (NPI# 1356726111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356726111
Entity Type Individual
Full Name KELLIE D MILDENBERGER
Credential LCSW
Practice Address 473 Cayuse Trl
Corvallis
MT 59828-9259
Mailing Address Po Box 1707
Hamilton
MT 59840-1707
Practice Telephone 4063632873
Mailing Telephone 4063632873
Enumeration Date 2015-07-22
Last Update Date 2015-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
12274 MT Behavioral Health & Social Service Providers

Office Location

Street Address 473 CAYUSE TRL
City CORVALLIS
State MT
Zip Code 59828-9259

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578755856 Brett Gordon Mildenberger Optometrist 473 Cayuse Trl, Corvallis, MT 59828-9259 2007-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891080529 Corvallis Physical Therapy, PC Clinic/Center 1050 Eastside Hwy, Corvallis, MT 59828 2011-06-10
1568665651 Linda Macy Technician 470 Clearview Drive, Corvallis, MT 59828 2007-06-07
1871617019 David J. Charlton Specialist/Technologist 1020 Eastside Highway, Corvallis, MT 59828 2007-03-16
1104018639 Carla R Albert Physical Therapist 1016 Brooks Ave, Corvallis, MT 59828 2007-08-17
1093870560 Corvallis Drug Inc Durable Medical Equipment & Medical Supplies 1029 Main Street, Corvallis, MT 59828-0009 2006-12-26
1477592509 John D Hutchison Optometrist 1031 Main Street, Corvallis, MT 59828-0911 2006-06-05
1720431729 Madeline Grace Mussman Family Medicine 1037 Main St, Corvallis, MT 59828-9004 2016-07-14
1457405680 Phyllis Jean Bookbinder Counselor 1135 Catherine Ln, Corvallis, MT 59828-9321 2007-01-23
1508875428 Janie Marie Hett Physical Medicine & Rehabilitation 1016 Brooks Ave, Corvallis, MT 59828-9340 2006-08-07
1578187787 Shannon Scott Physical Therapist 1016 Brooks Ave, Corvallis, MT 59828-9340 2020-06-03
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

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1851854780 Christina Polizzo Social Worker 277 Ne Conifer Blvd Unit 46, Corvallis, OR 97330-4141 2019-04-08
1982199683 Westwind Counseling LLC Social Worker 2396 Nw Kings Blvd Ste 201, Corvallis, OR 97330-3984 2018-06-25
1619410487 Kathryn Elizabeth Manning Social Worker 950 Se Marion Ave, Corvallis, OR 97333-2040 2016-11-29
1508216573 Act Beyond Pain, LLC Social Worker 4655 Nw Queens Ave, Corvallis, OR 97330-3234 2016-06-20
1376974873 Rose Sweetwater Social Worker 815 Nw 9th St #110, Corvallis, OR 97330 2013-12-09
1295176055 Adrienne Tauses Social Worker 3640 Nw Samaritan Dr Ste 161, Corvallis, OR 97330-3738 2013-07-09
1124387592 Anne Hovland Social Worker 4185 Sw Research Way, Corvallis, OR 97333-1783 2012-05-04
1821357286 Mary Jean Bolton Social Worker 815 Nw 9th St Ste 202, Corvallis, OR 97330-6173 2012-05-04
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Competitor

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City CORVALLIS
Zip Code 59828

Improve Information

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Dataset Information

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.

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