Amy Gault, MSW | |
307 1st Ave E Ste 16, Kalispell, MT 59901-4965 | |
(406) 529-1104 | |
(406) 730-5971 |
Full Name | Amy Gault |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 307 1st Ave E Ste 16, Kalispell, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376118661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | BBH-SWLC-LIC-38947 (Montana) | Primary |
Entity Name | Synchrony Therapeutic Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114636404 PECOS PAC ID: 5698145126 Enrollment ID: O20221228000922 |
Mailing Address | Practice Location Address |
---|---|
Amy Gault, MSW Po Box 446, Kalispell, MT 59903-0446 Ph: (406) 529-1104 | Amy Gault, MSW 307 1st Ave E Ste 16, Kalispell, MT 59901-4965 Ph: (406) 529-1104 |
Mary Jane Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Zimmerman Rd, Kalispell, MT 59901 Phone: 406-250-6375 | |
Keyawna Janice Larson, SWLC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 E Washington St Ste 3, Kalispell, MT 59901 Phone: 406-407-4513 | |
Tracy K Mayer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 | |
Aaron A. Boysen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 Windward Way, Kalispell, MT 59901 Phone: 406-752-6100 Fax: 406-755-3720 | |
Lisa Zug, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 Windward Way, Kalispell, MT 59901 Phone: 406-257-1336 Fax: 406-257-1353 | |
Jennifer E Dickinson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 S. Main Street, Kalispell, MT 59901 Phone: 406-260-2871 | |
Stephanie R Gordon, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 |