Provider Demographics
NPI:1205132511
Name:DOWNING, KELLY D (LCSW)
Entity type:Individual
Prefix:MS
First Name:KELLY
Middle Name:D
Last Name:DOWNING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:KELLY
Other - Middle Name:D
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:111 N LAST CHANCE GULCH
Mailing Address - Street 2:ARCADE BUILDING SUITE 2A
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4125
Mailing Address - Country:US
Mailing Address - Phone:406-443-1990
Mailing Address - Fax:406-443-1391
Practice Address - Street 1:111 N LAST CHANCE GULCH
Practice Address - Street 2:ARCADE BUILDING SUITE 2A
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4125
Practice Address - Country:US
Practice Address - Phone:406-443-1990
Practice Address - Fax:406-443-1391
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical