Active NPI
Lynda M Fichtner, LCSW, LAC
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1023232634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 683
- Practice address
- 101 E Broadway St Ste 608
Missoula, MT 59802-4597 - Phone
- (406) 360-1946
- NPI assigned
- Apr 13, 2007
- Last updated
- Jan 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC 1036 | MT | |
| Clinical Social Worker | 1041C0700X | LCSW 683 | MT | Primary |
Addresses
Primary practice location
101 E Broadway St Ste 608
Missoula, MT 59802-4597
Mailing address
101 E Broadway St Ste 608
Missoula, MT 59802-4597
Phone (406) 360-1946
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0042107 | Medicaid | MT | |
| 71735 | Other | MT | BLUE CROSS BLUE SHIELD MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC 1036 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW 683 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynda Fichtner, LCSW, Lac | Clinical | Current | Accepting new patients |
Locations
101 E Broadway St
Ste 405
Missoula, MT 59802
Phone (406) 531-0702
101 E Broadway St
Ste 608
Missoula, MT 59802
Phone (406) 360-1946
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Missoula, MT
- NPI 1215427745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735689600000",
"number": "1023232634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E BROADWAY ST STE 608",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024597",
"telephone_number": "406-360-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E BROADWAY ST STE 608",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024597",
"telephone_number": "406-360-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICHTNER",
"first_name": "LYNDA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "LAC 1036",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "LCSW 683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0042107",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MT",
"identifier": "71735",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.