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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
12274 | MT | Behavioral Health & Social Service Providers |
Street Address |
473 CAYUSE TRL |
City | CORVALLIS |
State | MT |
Zip Code | 59828-9259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578755856 | Brett Gordon Mildenberger | Optometrist | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2007-08-10 |
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 |
Find all providers in zip 59828 |
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 |
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1780211359 | Lina Soares | Social Worker | 1923 Sw Brooklane Dr, Corvallis, OR 97333-1627 | 2020-03-24 |
1053950147 | John Corbett Caster | Social Worker | 408 Sw Monroe Ave Ste M250, Corvallis, OR 97333-7210 | 2020-01-06 |
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 |
Find all providers in CORVALLIS |
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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.