Provider Demographics
NPI:1598433484
Name:STIMPFLING, KURT HERMAN (MSW SWLC)
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:HERMAN
Last Name:STIMPFLING
Suffix:
Gender:M
Credentials:MSW SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 A ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3609
Mailing Address - Country:US
Mailing Address - Phone:406-272-1872
Mailing Address - Fax:
Practice Address - Street 1:113 W FRONT ST
Practice Address - Street 2:#108
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4332
Practice Address - Country:US
Practice Address - Phone:406-272-1872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MTBBH-SWLC-LIC-483041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program