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PROVIDENCE MENTAL HEALTH PLLC
NPI 1194291609
Social Worker - Clinical in Bozeman, MT

Active since October 23, 2018
2246 BOOT HILL CT. UNIT #4, BOZEMAN, MT 59715(406) 579-4984 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Mental Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MENTAL HEALTH PLLC (NPI 1194291609) is a healthcare organization registered as a clinical in Bozeman, Montana and active in the NPI registry since October 2018. The organization lists Kevin Patrick Maxwell, Clinical Director, Clinician, as its authorized official.

NPPES Registry Identity

NPI1194291609
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROVIDENCE MENTAL HEALTH PLLC
Location Address2246 BOOT HILL CT. UNIT #4Bozeman, MT 59715
Mailing Address2246 Boot Hill Ct. Unit #4Bozeman, MT 59715 · (406) 579-4984
Phone(406) 579-4984
Organization SubpartNo
Authorized OfficialKevin Patrick MaxwellClinical Director, Clinician · (406) 579-4984
Enumeration DateOctober 23, 2018
✔ NPI 1194291609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Mental Health PLLC's NPI number?

The NPI number for Providence Mental Health PLLC is 1194291609. It was assigned to this organization in the NPPES registry on October 23, 2018.

Where is Providence Mental Health PLLC located?

Providence Mental Health PLLC is located at 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715. The listed phone number is (406) 579-4984.

What is Providence Mental Health PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Providence Mental Health PLLC was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.