MEDICARE: JENNIFER ANNE METCALFE

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	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1841823671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANNE METCALFE

Provider Business Mailing Address
First Line	:	1035 1ST AVE W
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-5607
Country	:	US
Telephone Number	:	406-751-8113
Fax Number	:

Provider Business Practice Location Address
First Line	:	2155 AIRPORT RD
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-7504
Country	:	US
Telephone Number	:	406-300-0600
Fax Number	:

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

Provider Enumeration Date	:	02/20/2020
Last Update Date	:	02/28/2020

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Directions to “ JENNIFER ANNE METCALFE ” Practice Location

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