Cody Elizabeth Portwine-kinzer, LCSW | |
2508 Wilson St, Miles City, MT 59301-5000 | |
(406) 234-1687 | |
(406) 234-1698 |
Full Name | Cody Elizabeth Portwine-kinzer |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2508 Wilson St, Miles City, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942461223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 768 (Wyoming) | Secondary |
1041C0700X | Social Worker - Clinical | 2382 (Montana) | Primary |
Entity Name | Eastern Montana Community Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992786784 PECOS PAC ID: 9032155601 Enrollment ID: O20050705000923 |
Mailing Address | Practice Location Address |
---|---|
Cody Elizabeth Portwine-kinzer, LCSW Po Box 1530, Miles City, MT 59301-1530 Ph: (406) 234-1687 | Cody Elizabeth Portwine-kinzer, LCSW 2508 Wilson St, Miles City, MT 59301-5000 Ph: (406) 234-1687 |
Ms. Denise J Heitler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2508 Wilson St, Miles City, MT 59301 Phone: 406-234-1687 | |
Marielaine Hegel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 S Winchester Ave, Miles City, MT 59301 Phone: 406-874-5843 Fax: 406-874-5808 | |
Diane Willson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 South Winchester, Miles City, MT 59301 Phone: 406-874-5871 | |
David George Duhaime, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2508 Wilson St, Miles City, MT 59301 Phone: 406-234-0234 Fax: 406-234-0235 | |
Ms. Ashley Dawn Meidinger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 519 Main St, Miles City, MT 59301 Phone: 406-234-3772 | |
Mr. Antwon Qouvadis Quo'vadis Vedale Speller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 316 S Haynes Ave, Miles City, MT 59301 Phone: 757-549-6913 |