Healthcare Provider Details

I. General information

NPI: 1750799805
Provider Name (Legal Business Name): KELSEY ASHMORE L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 2ND AVE N
GREAT FALLS MT
59401-3259
US

IV. Provider business mailing address

518 DEER DR
GREAT FALLS MT
59404-3829
US

V. Phone/Fax

Practice location:
  • Phone: 406-241-5217
  • Fax:
Mailing address:
  • Phone: 406-241-5217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWP-LCSW-LIC-8295
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: