MRS. KRISTIN NICOLE FEARON (NPI# 1487029336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487029336 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN NICOLE FEARON |
| Other Name | KRISTIN NICOLE RESCH |
| Credential | LCSW |
| Practice Address |
105 Venture Way Boulder MT 59632 |
| Mailing Address |
Po Box 1088 105 Venture Way Boulder MT 59632-1088 |
| Practice Telephone | 4062254610 |
| Practice Fax Number | 4062253464 |
| Mailing Telephone | 4062254610 |
| Mailing Fax Number | 4062253464 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SWP-LCSW-LIC-755 | MT | Behavioral Health & Social Service Providers |
| Street Address |
105 VENTURE WAY |
| City | BOULDER |
| State | MT |
| Zip Code | 59632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770080426 | Jessica Nicole Cole | Counselor | 105 Venture Way, Boulder, MT 59632 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1790171494 | Kayla M. Beadle-reinhardt | Social Worker | 105 Venture Ave, Boulder, MT 59632 | 2015-04-09 |
| 1750404661 | Alliance Outreach Services | Clinic/Center | 512 Capital Heights Dr, Boulder, MT 59632 | 2007-04-06 |
| 1760504310 | Jeni E Leary | Social Worker | 40 Hanging Wall Road, Boulder, MT 59632 | 2007-04-04 |
| 1679097638 | Amy Sue Braaksma | Nurse Practitioner | 214 S. Main St., Boulder, MT 59632 | 2017-08-01 |
| 1316353105 | Veronica J Champer | Nurse Practitioner | 214 South Main Street, Boulder, MT 59632 | 2014-07-01 |
| 1891830931 | Vermon Craig Barney | Dentist | 211 North Main, Boulder, MT 59632 | 2007-02-20 |
| 1588722383 | Jefferson County Health Department | Public Health or Welfare | 214 South Main Street, Boulder, MT 59632 | 2006-12-05 |
| 1043396054 | Elkhorn Mountain Health Services Inc | Family Medicine | 214 South Main, Boulder, MT 59632 | 2006-10-31 |
| 1255413381 | St. James Healthcare | Family Medicine | 214 S Main St, Boulder, MT 59632 | 2006-10-19 |
| Find all providers in zip 59632 | ||||
| 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 |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1821603085 | Timothy Kleinknecht | Social Worker | 3250 Oneal Cir Apt J36, Boulder, CO 80301-1469 | 2020-09-14 |
| 1831708205 | Center for Valued Living, Pllc | Social Worker | 2825 Marine St Ste 204, Boulder, CO 80303-1027 | 2020-07-30 |
| 1528688140 | Eandd, LLC | Social Worker | 1320 Ithaca Dr, Boulder, CO 80305-6334 | 2020-04-23 |
| 1720639065 | Melissa Thompson | Social Worker | 6007 Oreg Ave, Boulder, CO 80303-1314 | 2019-09-27 |
| 1609426469 | Cathy Summer | Social Worker | 350 Ponca Place, Suite 250, Boulder, CO 80303-3875 | 2019-09-13 |
| 1578126264 | Lenora Rae Schlosser | Social Worker | 2653 Juniper Ave, Boulder, CO 80304-2459 | 2019-04-17 |
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1720545148 | Ann Weatherby | Social Worker | 1249 Harrison Ct, Boulder, CO 80303-1138 | 2019-02-21 |
| 1700359460 | Sarah Corrie Shapiro | Social Worker | 121 Kelly Rd E, Boulder, CO 80302-9670 | 2019-01-05 |
| Find all providers in BOULDER | ||||
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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.