Provider Demographics
NPI:1629382734
Name:HJELMSTAD, LISA HUBBS (LCSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:HUBBS
Last Name:HJELMSTAD
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 1:1629 AVENUE D STE A1
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3042
Mailing Address - Country:US
Mailing Address - Phone:406-672-2693
Mailing Address - Fax:866-256-4657
Practice Address - Street 1:1629 AVENUE D STE A1
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3042
Practice Address - Country:US
Practice Address - Phone:406-256-4657
Practice Address - Fax:866-256-4657
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT957LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical