Healthcare Provider Details

I. General information

NPI: 1396664520
Provider Name (Legal Business Name): KADIE BANEY SWLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 2ND ST SE
CUT BANK MT
59427-3329
US

IV. Provider business mailing address

4090 VALIER HWY
VALIER MT
59486-5400
US

V. Phone/Fax

Practice location:
  • Phone: 406-873-2251
  • Fax: 406-873-3118
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-SWLC-LIC-89413
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: