Individual provider Active NPI

Lisa Salois, LCSW

  • Clinical Social Worker
  • Conrad, MT
National Provider Identifier
1174074215
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18665 Issued in MT
Practice address
308 S Illinois St
Conrad, MT 59425-1900
Phone
(406) 289-1999
NPI assigned
Oct 24, 2016
Last updated
May 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 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 18665 MT Primary

Addresses

Primary practice location

308 S Illinois St
Conrad, MT 59425-1900

Mailing address

1378 Conrad Dupuyer Rd
Conrad, MT 59425-9343
Phone (406) 289-1999

Other practice location 1

19 4th Ave SW Ste 2
Conrad, MT 59425-2339
Phone (406) 289-1999

Other practice location 2

55 Basin Creek Rd
Butte, MT 59701-9704
Phone (406) 496-6314

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18665MTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1174074215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 CONRAD DUPUYER RD",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594259343",
            "telephone_number": "406-289-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S ILLINOIS ST",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594251900",
            "telephone_number": "406-289-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 4th Ave SW Ste 2",
            "address_purpose": "LOCATION",
            "city": "Conrad",
            "state": "MT",
            "postal_code": "594252339",
            "country_code": "US",
            "telephone_number": "406-289-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Basin Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597019704",
            "country_code": "US",
            "telephone_number": "406-496-6314",
            "fax_number": "406-494-1724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALOIS",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "18665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conrad, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.