Individual
MS. NELLIE FAITH O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, RPT
Contact information
Practice address
203 RIMINI RD, LAKESIDE, MT 59922-9623
(406) 750-5784
Mailing address
203 RIMINI RD, LAKESIDE, MT 59922-9623
(406) 750-5784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
685
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136290
U CARE
—
01
—
321G6OR
BCBS
—
01
—
4047201
BHP PREFERRED ONE
—
01
—
974602100
MHCP
—
Enumeration date
07/17/2006
Last updated
04/09/2018
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