Provider Demographics
NPI:1043082969
Name:EHLERT, KELSEY ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:ANN
Last Name:EHLERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:WINIFRED
Mailing Address - State:MT
Mailing Address - Zip Code:59489-0072
Mailing Address - Country:US
Mailing Address - Phone:406-350-0782
Mailing Address - Fax:
Practice Address - Street 1:410 REYLECK ST
Practice Address - Street 2:
Practice Address - City:WINIFRED
Practice Address - State:MT
Practice Address - Zip Code:59489-8075
Practice Address - Country:US
Practice Address - Phone:406-350-0782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT487451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical