KELLY RAYE SMITH (NPI# 1225049901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225049901 |
| Entity Type | Individual |
| Full Name | KELLY RAYE SMITH |
| Other Name | KELLY RAYE MCKAY |
| Credential | LCSW, ACSW |
| Practice Address |
600 Central Ave Ste 208 Great Falls MT 59401 |
| Mailing Address |
600 Central Ave Ste 208 Great Falls MT 59401-3141 |
| Practice Telephone | 4062311775 |
| Practice Fax Number | 4064030660 |
| Mailing Telephone | 4062311775 |
| Mailing Fax Number | 4064030660 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
743-LCSW | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | WYOMING LCSW LICENSE | LCSW-503 | 01 |
| MT | BLUE CROSS/SHIELD OF MONT | 0000071565 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
| 1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
| 1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| Street Address |
600 CENTRAL AVE STE 208 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| 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 |
|---|---|---|---|---|
| 1194350496 | Jordan Sierra Prussack | Social Worker | 1417 9th St S Ste 300, Great Falls, MT 59405-4509 | 2020-03-06 |
| 1548758048 | Zoe L Ingalls | Social Worker | 1500 10th Ave S Ste 200, Great Falls, MT 59405-2619 | 2018-04-30 |
| 1700312865 | Desiree Marie Gaines | Social Worker | 5305 3rd Ave S, Center for Mental Health/chief Joseph, Great Falls, MT 59405-1719 | 2017-05-11 |
| 1710433446 | Elizabeth Christine Seau | Social Worker | 600 Central Ave Ste 407, Great Falls, MT 59401-3143 | 2016-09-01 |
| 1114390838 | Counseling and Coping Strategies LLC | Social Worker | 10104 Walker Lake Dr, Great Falls, VA 22066-3502 | 2015-11-03 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1578839437 | Amia R Watson | Social Worker | 3808 6th Ave S, Great Falls, MT 59405-3602 | 2012-03-26 |
| 1720389109 | Jessica Nicole Dewese | Social Worker | 5225 Sweatt Mccollough Rd, Great Falls, SC 29055-8912 | 2010-11-16 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| 1558692350 | Joseph Boland | Social Worker | 1604 Central Ave, Great Falls, MT 59401-3838 | 2010-01-19 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on KELLY RAYE SMITH.
| 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.