Healthcare Provider Details

I. General information

NPI: 1679723571
Provider Name (Legal Business Name): DANIELLE KIMBRELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 MILLS SPRING RD STE 2
EUREKA MT
59917-9773
US

IV. Provider business mailing address

PO BOX 217
FORTINE MT
59918-0217
US

V. Phone/Fax

Practice location:
  • Phone: 406-297-7900
  • Fax: 406-297-7921
Mailing address:
  • Phone: 406-297-7900
  • Fax: 406-297-7921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number850
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: