Provider Demographics
NPI:1649266537
Name:HARRIS, ANNE S (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 N 31ST ST STE 107
Mailing Address - Street 2:TRANSWESTERN 2
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1256
Mailing Address - Country:US
Mailing Address - Phone:406-860-3754
Mailing Address - Fax:
Practice Address - Street 1:490 N 31ST ST STE 107
Practice Address - Street 2:TRANSWESTERN 2
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1256
Practice Address - Country:US
Practice Address - Phone:406-860-3754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT194LCSW104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT71280OtherBLUE CROSS BLUE SHIELD
800004565Medicare ID - Type UnspecifiedRAILROAD
MT71280OtherBLUE CROSS BLUE SHIELD