MICHAEL JAMES HENDERSON (NPI# 1770698565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770698565 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES HENDERSON |
| Credential | LCSW LICENSED CLINIC |
| Practice Address |
433 Main Suite 4b Kalispell MT 59901 |
| Mailing Address |
212 Lakeshore Drive Kalispell MT 59901 |
| Practice Telephone | 4067560794 |
| Mailing Telephone | 4067560794 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
320LCSW | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | P00295420 | 01 | |
| MT | 0501432 | 05 | |
| MT | BLUE CROSS BLUE SHIELD | 0704115 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972858165 | Michael Henderson | Behavioral Analyst | 251 Tanglewood Dr, Southern Pines, NC 28387-4323 | 2012-07-13 |
| 1205158615 | Michael S Henderson | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2010-02-26 |
| 1366501231 | Michael Daniel Henderson | Technician/Technologist | 10365 S E Hwy 441, Belleview, FL 34420 | 2006-12-07 |
| 1780759340 | Michael Larry Henderson | Counselor | 1650 Mission St Ste 218, San Francisco, CA 94103-2414 | 2006-11-21 |
| 1730262262 | Michael Steven Henderson | Dentist | 39833 Traditions Dr, Northville, MI 48168-9498 | 2006-10-20 |
| 1659465193 | Michael Toledo Henderson | Marriage & Family Therapist | 6518 Lonetree Blvd, Suite 172, Rocklin, CA 95765-5874 | 2006-10-02 |
| 1033180914 | Michael Lee Henderson Jr. | Pharmacist | 221 W Heron St, Aberdeen, WA 98520 | 2006-01-30 |
| 1265423594 | Michael G Henderson | Physician Assistant | 165 W Commerce Dr, Belle Plaine, MN 56011-2911 | 2005-11-04 |
| 1144219585 | Michael David Henderson | Internal Medicine | 2360 1st St, Napa, CA 94559-2239 | 2005-10-18 |
| 1407340730 | Michael James Henderson | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2018-06-20 |
| Street Address |
433 MAIN SUITE 4B |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| 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 |
|---|---|---|---|---|
| 1275144552 | Whitney Danz | Social Worker | 723 5th Ave E # B-18, Kalispell, MT 59901-5321 | 2020-08-11 |
| 1629617568 | Mountain Root Healing | Social Worker | 307 1st Ave E Ste 15, Kalispell, MT 59901-4965 | 2019-12-23 |
| 1013568492 | Mindful Heart Counseling LLC | Social Worker | 1103 S Main St, Kalispell, MT 59901-5674 | 2019-09-26 |
| 1780149443 | Robert Torrance Cale IIi | Social Worker | 1110 2nd St W, Kalispell, MT 59901-4202 | 2019-02-07 |
| 1215408661 | Kathryn Jean Barrow | Social Worker | 21 Honeysuckle Ln, Kalispell, MT 59901-8952 | 2018-12-11 |
| 1922574680 | Robin Larrick Graham | Social Worker | 286 5th Avenue East N, Kalispell, MT 59901-4119 | 2018-10-21 |
| 1871002303 | Lori Sue Gerber | Social Worker | 130 Aurich Ave, Kalispell, MT 59901-2587 | 2017-09-27 |
| 1740649722 | Charles Lennon Day Jones | Social Worker | 1030 Adrienne Ln, Kalispell, MT 59901-1105 | 2016-02-18 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| 1992109375 | Thomas Anthony Gutschenritter | Social Worker | 33 2nd St E., Suite 10, Kalispell, MT 59901 | 2014-10-14 |
| Find all providers in KALISPELL | ||||
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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.