Active NPI
Emmalee Thackston
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1093626749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-SWLC-LIC-83742
- Practice address
- 550 N California St
Missoula, MT 59802-3913 - Phone
- (406) 282-4052
- NPI assigned
- Sep 14, 2026
- Last updated
- Sep 14, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-SWLC-LIC-83742 | MT | Primary |
Addresses
Primary practice location
550 N California St
Missoula, MT 59802-3913
Mailing address
550 N California St
Missoula, MT 59802-3913
Phone (406) 282-4052
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1093626749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N CALIFORNIA ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023913",
"telephone_number": "406-282-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N CALIFORNIA ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023913",
"telephone_number": "406-282-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACKSTON",
"first_name": "EMMALEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-SWLC-LIC-83742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
- Jamie Lynn Terry, DPT
- Riley Allen Terry, PA-C
- Robert Terwilliger, L.C.P.C
- Julia Terzo
- Michelle Lynn Teske, RPH
- Mary Hensleigh Thane, PT, GCS
- The Center of Physical Therapy & Wellness (Balanced Physical Therapy & Wellness)
- The Doyle Group
- The Feeling & Healing Center, LLC
- The Golgi Clinic, LLC (The Golgi Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.