Individual provider · Type 1 NPI

Adam Boomer

Clinical Social Worker · Missoula, MT

NPI number 1194485607 Active

Practice location

800 Kensington Ave Ste 201
Missoula, MT 59801-5674

Call (406) 830-5095 Map

Mailing address

2750 Terrace Dr
Missoula, MT 59803-9732

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XBBH-LCSW-LIC-81440 (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 1194485607

Adam Boomer's National Provider Identifier is 1194485607, issued on Dec 23, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Missoula, MT. The record was last updated on Feb 17, 2026.