MEDICARE: KYSA E RASMUSSEN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	16010	MT

General Provider Information

NPI Number	:	1083071187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYSA E RASMUSSEN LCSW

Provider Business Mailing Address
First Line	:	1100 5TH ST SW
Second Line	:
City	:	SIDNEY
State	:	MT
Zip	:	59270-3643
Country	:	US
Telephone Number	:	406-433-7539
Fax Number	:	406-433-9186

Provider Business Practice Location Address
First Line	:	1100 5TH ST SW
Second Line	:
City	:	SIDNEY
State	:	MT
Zip	:	59270-3643
Country	:	US
Telephone Number	:	406-433-7539
Fax Number	:	406-433-9186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2016
Last Update Date	:	01/08/2026

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Directions to “ KYSA E RASMUSSEN LCSW” Practice Location

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