Individual provider · Type 1 NPI

Thomas John Basolo, LAC

Clinical Social Worker · Missoula, MT

NPI number 1861270944 Active

Practice location

3000 Palmer St Ste B
Missoula, MT 59808-1671

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XBBH-SWLC-LIC-71592 (MT)
Addiction (Substance Use Disorder) Counselor 101YA0400XBBH-LAC-LIC-64524 (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 1861270944

Thomas John Basolo, LAC's National Provider Identifier is 1861270944, issued on Sep 19, 2023. 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 21, 2026.