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

Individual provider Clinical Social Worker · NPI 1811642010

Johanna Cristol Lawrence, LCSW is a Clinical Social Worker in Missoula, Montana. Qualified in 2019, 7 years ago. Practices with Providence Health and Services Mt, a 358-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
7
Licensed in
MT
In the registry since
2022
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

601 W Spruce St Ste A
Missoula, MT 59802-4047
Phone: (406) 728-3111
Fax: (406) 728-3116
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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-55228 (MT)

Record details

NPI number1811642010
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 16, 2022
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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