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

Jaclyn Grogan, LCSW

Individual provider Clinical Social Worker · NPI 1124678180

Jaclyn Grogan, LCSW is a Clinical Social Worker in Missoula, Montana. Qualified in 2009, 17 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
17
Licensed in
MT
In the registry since
2019
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

2339 Classic Ct
Missoula, MT 59801-1354
Phone: (406) 370-7211
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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-25464 (MT)

Record details

NPI number1124678180
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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