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

Mr. Timothy Leslie Dallacqua, LCSW

Individual provider Clinical Social Worker · NPI 1467710442

Mr. Timothy Leslie Dallacqua, LCSW is a Clinical Social Worker in Great Falls, Montana. Practices as a sole proprietor. Licensed in Montana.

Licensed in
MT
In the registry since
2012
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

600 Central Ave Ste 305
Great Falls, MT 59401-3179
Phone: (406) 868-8017
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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 895 (MT)

Record details

NPI number1467710442
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 27, 2012
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

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