Provider Demographics
NPI:1275197758
Name:BELGARDE, RONDA LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:RONDA
Middle Name:LEE
Last Name:BELGARDE
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 1:2017 SILVER BOW BLVD
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-4839
Mailing Address - Country:US
Mailing Address - Phone:406-883-4051
Mailing Address - Fax:
Practice Address - Street 1:2017 SILVER BOW BLVD
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4839
Practice Address - Country:US
Practice Address - Phone:406-883-4051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-370041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical