Elizabeth Kennard, LCSW
Social Worker, Clinical in Missoula, MT. Individual provider (NPI-1).
NPI number1245947985
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1245947985
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Kennard
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2022
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2315 McDonald Ave Ste 101Missoula, MT 59801-7343
Phone 062-909-7884
Mailing address
288 CapdevillaLolo, MT 59847-9612
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