Healthcare Provider Details

I. General information

NPI: 1285503532
Provider Name (Legal Business Name): AIMERY RICHARD SWLC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 BROADWATER AVE
BILLINGS MT
59102-5412
US

IV. Provider business mailing address

17 N 26TH ST
BILLINGS MT
59101-2303
US

V. Phone/Fax

Practice location:
  • Phone: 406-534-4558
  • Fax: 406-281-8002
Mailing address:
  • Phone: 406-534-4558
  • Fax: 406-827-8002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-SWLC-LIC-72176
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: