Provider Demographics
NPI:1295224376
Name:GAINAN, ANGELA KAY (LCSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:KAY
Last Name:GAINAN
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 1:100 N 27TH ST STE 510
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2054
Mailing Address - Country:US
Mailing Address - Phone:406-694-9856
Mailing Address - Fax:
Practice Address - Street 1:100 N 27TH ST STE 510
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2054
Practice Address - Country:US
Practice Address - Phone:406-694-9856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-04
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT183231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1891781787Medicaid