Shania Monique Patacsil, SWLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-SWLC-LIC-78796 Issued in MT

Practice address

803 11TH Ave E
Polson, MT 59860-3142

Phone

(406) 390-5281

NPI assigned

Mar 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shania Monique Patacsil Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1225836323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 11TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 11TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603142",
            "telephone_number": "406-390-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATACSIL",
        "first_name": "SHANIA",
        "middle_name": "MONIQUE",
        "credential": "SWLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-78796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANIA",
            "last_name": "PATACSIL",
            "middle_name": "MONIQUE",
            "credential": "SHANIA PATACSIL SWLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel Hepburn Ore, LCSW
• Cynthia A. Ottun, CPHT
• Jeremy Page
• Paladin Enterprises, Inc.
• Amy Gail Parsons, MA., CCC-SLP
• Leslie Anne Patterson, PTA
• Jedidiah Allen Petersen, PA
• Susan M Peterson, R.N.
• Lacey J Phelan, DPT
• Richard Pierre, CPHT

• Clinical Social Worker in Polson, MT
• Providers in Polson, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.