| Therapeutic Mentoring PC | |
|
170 S 2nd St Ste C Hamilton MT 59840-2561 | |
| (406) 531-8846 | |
| Not Available |
| Full Name | Therapeutic Mentoring PC |
|---|---|
| Speciality | Social Worker |
| Location | 170 S 2nd St Ste C, Hamilton, Montana |
| Authorized Official Name and Position | Thaddeus J Widmer (OWNER) |
| Authorized Official Contact | 4065318846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Mentoring PC Po Box 676 Hamilton MT 59840-0676 Ph: (406) 531-8846 | Therapeutic Mentoring PC 170 S 2nd St Ste C Hamilton MT 59840-2561 Ph: (406) 531-8846 |
| NPI Number | 1942650601 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 01/29/2026 |
| Certification Date | 01/29/2026 |
| Medicare PECOS PAC ID | 6901388180 |
|---|---|
| Medicare Enrollment ID | O20260305003990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942650601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 860 (Montana) | Primary |
| 1041C0700X | Social Worker - Clinical | 872 (Montana) | Secondary |
| Provider Name | Thaddeus J Widmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376783142 PECOS PAC ID: 7719469998 Enrollment ID: I20260312000954 |
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