Individual provider Active NPI

Samuel Hepburn Ore, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1215405246
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33127 Issued in MT
Practice address
800 Kensington Ave Ste 201
Missoula, MT 59801-5670
Phone
(406) 241-1693
NPI assigned
Nov 7, 2018
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 33127 MT Primary

Addresses

Primary practice location

800 Kensington Ave Ste 201
Missoula, MT 59801-5670

Mailing address

2 6TH Ave E
Polson, MT 59860-2726
Phone (406) 241-1693

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
I20200612002462 MT Practitioner - Clinical Social Worker 5092136564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waxwing Psychotherapy Limited Liability PartnershipGroup PAC ID 4183045651, 2 clinicians

Practice addresses (Care Compare)

800 Kensington Ave
Suite 201
Missoula, MT 59801-5670
Phone (406) 570-1762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33127MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waxwing Psychotherapy Limited Liability Partnership Clinical CurrentSince Mar 1, 2020 Accepting new patients
Redtail Mental Health, LLC Clinical Current Accepting new patients

Locations

2825 Stockyard Rd
Ste F4
Missoula, MT 59808
Phone (406) 241-1693

800 Kensington Ave
Ste 201
Missoula, MT 59801
Phone (406) 213-5070

800 Kensington Ave
Ste 203
Missoula, MT 59801
Phone (315) 372-3723

2 6th Ave E
Polson, MT 59860
Phone (360) 672-1548

220 Main St
Polson, MT 59860
Phone (406) 212-7023

Organizations & group practices 2

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1215405246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 6TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602726",
            "telephone_number": "406-241-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENSINGTON AVE STE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015670",
            "telephone_number": "406-241-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORE",
        "first_name": "SAMUEL",
        "middle_name": "HEPBURN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-07",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "33127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.