Individual
SHIRLEY SUE CAYKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 2ND AVE N STE 400, GREAT FALLS, MT 59401-3276
(406) 453-0088
Mailing address
PO BOX 373, ULM, MT 59485-0373
(406) 268-1069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
803 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000701213
BLUE CROSS/BLUE SHIELD OF MT
MT
01
—
12501880
CAQH
MT
05
—
1659566495
—
MT
01
—
P00692129 C01340
RAILROAD MEDICARE
MT
Enumeration date
09/13/2007
Last updated
01/30/2015
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