Provider Demographics
NPI:1457778250
Name:WELLINGTON, STEVEN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:WELLINGTON
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 TIMBERVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-8297
Mailing Address - Country:US
Mailing Address - Phone:603-986-7040
Mailing Address - Fax:406-388-8222
Practice Address - Street 1:251 EDELWEISS DR
Practice Address - Street 2:STE 1B
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3933
Practice Address - Country:US
Practice Address - Phone:603-986-7040
Practice Address - Fax:406-388-8222
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-18
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT77841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical