Elliott Margaret Evans, SWLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-SWLC-LIC-63474 Issued in MT

Practice address

3819 Stephens Ave Ste 300
Missoula, MT 59801-8522

Phone

(406) 215-2225

NPI assigned

Jul 28, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Margaret Hunt Debona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Missoula Therapy, PLLC

  • Mental Health Counselor
  • Missoula, MT
  • NPI 1225528110

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1083395362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BURNS ST UNIT 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022005",
            "telephone_number": "828-215-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 STEPHENS AVE STE 300",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018522",
            "telephone_number": "406-215-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ELLIOTT",
        "middle_name": "MARGARET",
        "credential": "SWLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-63474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "DEBONA",
            "middle_name": "HUNT",
            "credential": "SWLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Elizabeth Errebo, PSYD
• John Espy, LCSW
• Kelly R Etzel
• Suzanne Evans Goold, LCSW
• Amber Evans
• Kenneth D Evans
• Nancy L Everett, CNM
• Skye Kendall Everett, DPT
• Wade A Everett
• Evergreen at Missoula, L.L.C.

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.