Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services Mt

Organization Clinical Social Worker · NPI 1558530683

Providence Health & Services Mt is a Clinical Social Worker in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2008.

Licensed in
MT
In the registry since
2008
Specialties on file
2

Practice location Address checks out

900 N Orange St Ste 202
Missoula, MT 59802-2951
Phone: (406) 327-3029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 17652 (MT)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1558530683
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services Mt
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Pmt Mt Urgent Mental Health; Pmt Mt Urgent Mental Health; Providence Medical Group Montana
NPI enumeratedFebruary 22, 2008
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

Other providers in Missoula