Provider Demographics
NPI:1255970109
Name:BARONE, KRISTIE (LCSW)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:
Last Name:BARONE
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 1:2812 1ST AVE N STE 425
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2312
Mailing Address - Country:US
Mailing Address - Phone:406-671-8815
Mailing Address - Fax:406-259-4841
Practice Address - Street 1:2812 1ST AVE N STE 425
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2312
Practice Address - Country:US
Practice Address - Phone:406-671-8815
Practice Address - Fax:406-259-4841
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-24
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT563631041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1891781787Medicaid