Organization · Type 2 NPI

Mountain Home Montana Inc

Clinical Social Worker · Missoula, MT

NPI number 1265752034 Active

Practice location

4720 23rd Ave
Missoula, MT 59803-1137

Fax (406) 541-4662

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed
Case Management Agency	251B00000X	13491 (MT)
Community/Behavioral Health Agency	251S00000X	13491 (MT)
Community/Behavioral Health Agency	251S00000X	709LCSW (MT)
Clinic/Center	261Q00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

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 1265752034

Mountain Home Montana Inc's National Provider Identifier is 1265752034, issued on Jun 3, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Missoula, MT. The record was last updated on Jan 13, 2026.