Roula Agne, LCSW
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1285057232 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1285057232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4642 (MT)
- Practice address
- 107 W Sussex Ave
Missoula, MT 59801-6844 - Phone
- (406) 531-2416
- Fax
- (855) 201-3734
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 W Sussex Ave
Missoula, MT 59801-6844
Phone (406) 531-2416
415 N Higgins Ave
Suite 9
Missoula, MT 59802-4559
Phone (406) 531-2416
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171005001381 | MT | Practitioner - Clinical Social Worker | 2365717048 |
Reassigns benefits to 1 organization Practice locations: Missoula, MT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4642 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roula Agne LCSW LLC | Clinical | Current |
Accepting new patients |
| Sydney D Seyfert | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4642 | MT | Yes |
Addresses
Primary practice location
107 W Sussex Ave
Missoula, MT 59801-6844
Mailing address
PO Box 3236
Missoula, MT 59806-3236
Phone (406) 531-2416
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285057232 | Medicaid | MT |
Other providers in Missoula, MT
- Advanced Speech Therapy, Inc.
- Aerosurgical Montana LLC
- Aesthetic Plastic Surgery Center, PC
- After the Overthink LLC
- Against the Grain Psychotherapy PLLC
- Karen Ahlstrom
- Aim Healthcare Providers Mt, PLLC
- Kristin Eckholm Airhart
- Albertsons LLC
- Albertsons LLC
All providers in Missoula, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.