Individual provider Active NPI

Yolanda Mah, LCSW, LAC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1134736630
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-44210 Issued in MT
Practice address
700 SW Higgins Ave Ste 107
Missoula, MT 59803-1489
Phone
(406) 214-3810
NPI assigned
Sep 28, 2020
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-44210 MT Primary

Addresses

Primary practice location

700 SW Higgins Ave Ste 107
Missoula, MT 59803-1489

Mailing address

700 SW Higgins Ave Ste 107
Missoula, MT 59803-1489
Phone (406) 214-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519002503 MT Practitioner - Clinical Social Worker 9133528318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-44210MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little Sunflower Counseling, LLC CurrentSince May 1, 2021 Accepting new patients
Katherine Kosma Schwartz LCSW Lac LLC Clinical PastSince Oct 1, 2020 Accepting new patients
We Care Behavioral Health LLC Clinical PastSince Nov 9, 2021 Accepting new patients

Locations

2120 S Reserve St
Missoula, MT 59801
Phone (406) 543-1929

700 SW Higgins Ave
Ste 107
Missoula, MT 59803
Phone (406) 214-3810

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1134736630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW HIGGINS AVE STE 107",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031489",
            "telephone_number": "406-214-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW HIGGINS AVE STE 107",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031489",
            "telephone_number": "406-214-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAH",
        "first_name": "YOLANDA",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-44210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.