| Kaycie Brianne Soper, LCSW | |
|
401 Railroad St W, Missoula, MT 59802-4178 | |
| (406) 258-4789 | |
| (406) 258-4732 |
| Full Name | Kaycie Brianne Soper |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 401 Railroad St W, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750087003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-64320 (Montana) | Primary |
| Entity Name | Partnership Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196243 PECOS PAC ID: 6103843479 Enrollment ID: O20051026000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaycie Brianne Soper, LCSW 401 Railroad St W, Missoula, MT 59802-4178 Ph: (406) 258-4789 | Kaycie Brianne Soper, LCSW 401 Railroad St W, Missoula, MT 59802-4178 Ph: (406) 258-4789 |
Jennifer Walrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 Hillcrest Loop, Missoula, MT 59803 Phone: 406-529-7776 Fax: 866-776-9460 | |
Jocelyn Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 S 3rd St W, Missoula, MT 59801 Phone: 406-240-3732 | |
Jennifer Nichole Tuttle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 N California St Apt 407, Missoula, MT 59801 Phone: 919-395-2269 | |
Mckenna Leigh Fromm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3885 W Broadway St, Missoula, MT 59808 Phone: 406-465-8725 | |
Mark Christopher Wayne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-830-5584 | |
Ms. Kaitlyn Nina Bosshardt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 | |
Calia Ivy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Dixon Ave, Missoula, MT 59801 Phone: 928-637-8354 |