Healthcare Provider Details

I. General information

NPI: 1891139523
Provider Name (Legal Business Name): JENNIFER M D'ARCY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E PARK AVE
ANACONDA MT
59711-2340
US

IV. Provider business mailing address

1916 LOWELL AVE
BUTTE MT
59701-5427
US

V. Phone/Fax

Practice location:
  • Phone: 406-563-8117
  • Fax: 406-563-5956
Mailing address:
  • Phone: 406-491-1430
  • Fax: 406-494-1724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-LCSW-LIC-4506
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: