Provider Demographics
NPI:1629270905
Name:LALICKER, DAYNEN JEAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:DAYNEN
Middle Name:JEAN
Last Name:LALICKER
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 1:2227 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-6032
Mailing Address - Country:US
Mailing Address - Phone:406-299-3637
Mailing Address - Fax:406-299-3638
Practice Address - Street 1:2227 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-6032
Practice Address - Country:US
Practice Address - Phone:406-299-3637
Practice Address - Fax:406-299-3638
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5323-LCSW1041C0700X
KS56711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical