KIMBERLY NOTTESTAD (LCSW) – Clinical Social Worker, NPI 1164780904

Clinical Social Worker

KIMBERLY NOTTESTAD (LCSW) is a healthcare provider. based in Liberty lake, Washington. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. LCSW-34558 (ID). The NPI Number for KIMBERLY NOTTESTAD (LCSW) is 1164780904

Main info

Female

Sole Proprietor

26 Years Of Experience

Accepts Medicare Assignment

Name

KIMBERLY NOTTESTAD (LCSW)

NPI

1164780904

Phone

(406) 327-3034

Address

PO BOX 12

Enumeration Date

30 April 2012

Last Update Date

21 December 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4065329700

Graduation Year

2000 (26 years ago)

PAC ID

4789903949

Group Practice PAC ID

6507764453

Professional Enrollment ID

I20170516002896

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for KIMBERLY NOTTESTAD (LCSW)

PO BOX 12
LIBERTY LAKE, WA 990190012
Phone: (406) 327-3034
Fax: (406) 327-3231
Type: Mailing
1315 WYOMING ST
MISSOULA, MT 598011725
Phone: (406) 532-9700
Type: Mailing
900 N ORANGE ST STE 102
MISSOULA, MT 598022951
Phone: (406) 327-3034
Fax: (406) 327-3231
Type: Location
1315 Wyoming St
Missoula, MT 598011725
Phone: (406) 532-9700
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99019)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6507764453View full group profile

Name	Specialty	State
KALEY RADERMACHER (LCSW)	-	MT
JANE MERGY	Nurse Practitioner	MT
MRS. HEATHER NOEL ZUFELT (FNP)	Nurse Practitioner	MT
PATRICK S. MAIDMAN (MD)	P S Y C H I A T R Y	MT
MS. ELIZABETH KAY HECTOR (MSW)	-	MT
DR. RICHARD EDMUND MITCHELL (D.O.)	-	MT
KRISTINA SKYE ANDERSON (PMHNP)	Nurse Practitioner	MT
COLBY WOOD (LCSW)	-	MT
BRITTANY MAE MITCHELL EPPARD (NP)	-	MT
PATRICIA WHITE (PA)	Physician Assistant	KS