Individual provider Active NPI

Ryan Tolleson Knee, LCSW, PHD

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1164314977
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-80221 Issued in MT
Practice address
125 Bank St Ste 310
Missoula, MT 59802-4413
Phone
(406) 549-7325
Fax
(406) 549-7559
NPI assigned
Jul 16, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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-80221 MT Primary

Addresses

Primary practice location

125 Bank St Ste 310
Missoula, MT 59802-4413

Mailing address

125 Bank St Ste 310
Missoula, MT 59802-4413
Phone (406) 549-7325

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
I20251223000570 MT Practitioner - Clinical Social Worker 7719472141 Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 Bank St
Suite 310
Missoula, MT 59802-4407

125 Bank St
Suite 310
Missoula, MT 59802-4413
Phone (406) 549-7325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-80221MTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1164314977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BANK ST STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024413",
            "telephone_number": "406-549-7325",
            "fax_number": "406-549-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BANK ST STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024413",
            "telephone_number": "406-549-7325",
            "fax_number": "406-549-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLESON KNEE",
        "first_name": "RYAN",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-80221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.