Individual provider · Type 1 NPI

Dacia Lee Antiste-Fisher, LCSW

Clinical Social Worker · Polson, MT

NPI number 1104255637 Active

Practice location

5 4th Ave E
Polson, MT 59860-2117

Call (406) 745-3525 Map

Fax (406) 745-3529

Mailing address

P.o. Box 880
St. Ignatius, MT 59865

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XBBH-LCSW-LIC-30076 (MT)
Addiction (Substance Use Disorder) Counselor 101YA0400X1930 (MT)
Addiction (Substance Use Disorder) Counselor 101YA0400XLAC-LAC-LIC-1930 (MT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104255637

Dacia Lee Antiste-Fisher, LCSW's National Provider Identifier is 1104255637, issued on Nov 5, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Polson, MT. The record was last updated on Mar 14, 2024.