MEDICARE: KAITLIN SPENCER

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	106S00000X	Behavior Technician	CB60971891	WA
2	1041C0700X	Clinical Social Worker	BBH-LCSW-LIC-72895	MT

General Provider Information

NPI Number	:	1154871002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN SPENCER

Provider Business Mailing Address
First Line	:	PO BOX 3291
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59806-3291
Country	:	US
Telephone Number	:	406-282-4979
Fax Number	:	855-975-3095

Provider Business Practice Location Address
First Line	:	2721 CONNERY WAY
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1951
Country	:	US
Telephone Number	:	406-282-4979
Fax Number	:

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

Provider Enumeration Date	:	10/04/2016
Last Update Date	:	02/18/2026

Similar Medicare Providers

1659223725 — KARISSMA RUFE
Practice Location Address:

2721 CONNERY WAY
MISSOULA, MT
59808-1951

Practice Phone: 406-201-8057
Practice Fax:

1699552323 — JESSICA CHERIE HANSON LCSW
Practice Location Address:

2721 CONNERY WAY
MISSOULA, MT
59808-1951

Practice Phone: 406-381-5531
Practice Fax:

1801621966 — BROOKE OLIVIA BEIGHLE MA, PCLC, NCC
Practice Location Address:

2721 CONNERY WAY
MISSOULA, MT
59808-1951

Practice Phone: 406-219-1267
Practice Fax: 855-975-3095

1548113681 — CONSUMER DIRECT CARE NETWORK, LLC
Practice Location Address:

100 CONSUMER DIRECT WAY
MISSOULA, MT
59808-5037

Practice Phone: 406-532-2926
Practice Fax:

1558483206 — HKJ INC
Practice Location Address:

3000 PALMER ST STE B
MISSOULA, MT
59808-1671

Practice Phone: 406-541-4673
Practice Fax:

1316605637 — PROVIDENCE HEALTH & SERVICES MT
Practice Location Address:

3075 N RESERVE ST STE Q
MISSOULA, MT
59808-1390

Practice Phone: 406-327-1850
Practice Fax:

Directions to “ KAITLIN SPENCER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.