# CAMILLA O. BERGSTROM LCSW PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013081637
- **Authorized official:** MS. CAMILLA O. HURD LCSW (PRESIDENT)
- **Authorized official phone:** (406) 736-5613

## Contact information

- **Practice address:** 208 N 29TH ST, SUITES 236-237, BILLINGS, MT 59101-1985
- **Practice address phone:** (406) 899-1008
- **Mailing address:** 533 EVANS RICEVILLE RD, BELT, MT 59412-8400
- **Mailing address phone:** (406) 736-5613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 327 | MT | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0503308 | — | MT |