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

Individual provider Clinical Social Worker · NPI 1336625862

Angelica Marie Mothka, LCSW is a Clinical Social Worker in Missoula, Montana. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
10
Licensed in
MT
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2809 Connery Way Ste B
Missoula, MT 59808-1955
Phone: (406) 552-9188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-31448 (MT)

Record details

NPI number1336625862
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 18, 2018
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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