=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790206076
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MS. SAMI JO LEMONS-VELEZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2017
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1601 2ND AVE N STE 650
-----------------------------------------------------
City | GREAT FALLS
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59401-3287
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-926-2011
-----------------------------------------------------
Fax | 406-300-5592
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 6295
-----------------------------------------------------
City | GREAT FALLS
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59406-6295
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-926-2011
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | BBH-LCSW-LIC-24626
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------