Healthcare Provider Details

I. General information

NPI: 1740492883
Provider Name (Legal Business Name): SHARON JANE SPECK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 9TH AVE
HELENA MT
59601-4759
US

IV. Provider business mailing address

1930 9TH AVE
HELENA MT
59601-4759
US

V. Phone/Fax

Practice location:
  • Phone: 406-457-0000
  • Fax: 406-457-8992
Mailing address:
  • Phone: 406-457-0000
  • Fax: 406-457-8981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number724
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: