IndividualActive
Amanda Fahlstrom, LCSW
NPI 1962061887 · Clinical Social Worker · Bozeman, MT
Provider details
- NPI number
- 1962061887
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 37551 (MT)
Practice location
145 Mill Town Loop Ste B
Bozeman, MT 59718-5144
Phone: (406) 219-1350
Fax: (406) 219-0749
Mailing address
Po Box 7003
Bozeman, MT 59771-7003
Registry dates
- Enumerated
- 2019-06-13
- Last updated
- 2021-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.