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

Individual provider Clinical Social Worker · NPI 1821543000

Justina Kelsey Dodge, LCSW is a Clinical Social Worker in Missoula, Montana. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
13
Licensed in
MT
In the registry since
2016
Specialties on file
2
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

725 W Central Ave #208
Missoula, MT 59801-6800
Phone: (406) 926-1231
Fax: (406) 926-1231
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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 18186 (MT)
Clinical Social Worker Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-18186 (MT)

Record details

NPI number1821543000
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 17, 2016
Last updated in NPPESSeptember 5, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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