Provider Demographics
NPI:1528744034
Name:PASTIAN, NIKKI LEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:LEE
Last Name:PASTIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:JEANE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6125 CRIST LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-5931
Mailing Address - Country:US
Mailing Address - Phone:406-478-8094
Mailing Address - Fax:
Practice Address - Street 1:6125 CRIST LN
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MT
Practice Address - Zip Code:59833-5931
Practice Address - Country:US
Practice Address - Phone:406-531-8605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-638301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical