Individual
SHARMAINE J BENALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
425 SMELTER AVE NE, GREAT FALLS, MT 59404-1927
(406) 247-7130
Mailing address
PO BOX 3629, WINDOW ROCK, AZ 86515
(505) 464-1608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-07501
NM
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC57015
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82172366
—
NM
01
—
873801643
STATE MEDICAID
MT
Enumeration date
11/16/2006
Last updated
06/28/2024
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