Individual provider Active NPI

Dylan Claxton, MSW, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1346859931
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-43916 Issued in MT
Practice address
900 N Orange St
Missoula, MT 59802-2998
Phone
(406) 329-5776
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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-43916 MT Primary

Addresses

Primary practice location

900 N Orange St
Missoula, MT 59802-2998

Mailing address

900 N Orange St
Missoula, MT 59802-2998
Phone (406) 329-5776

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
I20200812003363 MT Practitioner - Clinical Social Worker 8426474198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Aug 10, 2020 Accepting new patients
Dylan Claxton, LCSW, PLLC Clinical Current Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt Clinical CurrentSince Aug 10, 2020 Accepting new patients

Locations

900 N Orange St
Ste 103
Missoula, MT 59802
Phone (406) 329-5776

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

900 N Orange St
Missoula, MT 59802
Phone (406) 327-3300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1346859931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022998",
            "telephone_number": "406-329-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022998",
            "telephone_number": "406-329-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAXTON",
        "first_name": "DYLAN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-43916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.