Healthcare Provider Details

I. General information

NPI: 1942134820
Provider Name (Legal Business Name): CORINA J HOWARD LCSW-CANDIDATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 E WASHINGTON ST STE A
KALISPELL MT
59901-3975
US

IV. Provider business mailing address

PO BOX 1461
MARION MT
59925-1461
US

V. Phone/Fax

Practice location:
  • Phone: 406-242-5456
  • Fax:
Mailing address:
  • Phone: 406-242-5456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-SWLC-LIC-89244
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: