Active NPI
Destiny Dawn Devine, MSW
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1407503253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-79128
- Practice address
- 114 W Pine St Ste 8
Missoula, MT 59802-4222 - Phone
- (406) 743-3473
- Fax
- (406) 821-7755
- NPI assigned
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-79128 | MT | Primary |
Addresses
Primary practice location
114 W Pine St Ste 8
Missoula, MT 59802-4222
Mailing address
2424 Belt Buckle
Missoula, MT 59808-9537
Phone (406) 750-1150
Other names 1
- Destiny Dawn Schoonover
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Missoula | Health Information Exchange (HIE) | |
| Other URL | Missoula | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250623001323 | MT | Practitioner - Clinical Social Worker | 0648782045 | Practice locations: Missoula, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
114 W Pine St
Suite 8
Missoula, MT 59802-4222
Phone (406) 743-3473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wading Waters Therapy LLC | Clinical | Current | Accepting new patients |
| Emily Wish, LLC | Past | Accepting new patients |
Locations
114 W Pine St
Ste 8
Missoula, MT 59802
Phone (406) 540-0858
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Missoula, MT
- NPI 1831971217
-
- Mental Health Counselor
- Great Falls, MT
- NPI 1386009876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1407503253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 BELT BUCKLE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598089537",
"telephone_number": "406-750-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W PINE ST STE 8",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024222",
"telephone_number": "406-743-3473",
"fax_number": "406-821-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "DESTINY",
"middle_name": "DAWN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-02",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-79128",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Missoula",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "600 Central Ave Ste 201",
"city": "Great Falls",
"state": "MT",
"country_code": "US",
"postal_code": "594013141",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Missoula",
"affiliation": "N",
"endpointDescription": "Health Information Exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "114 W Pine St Ste 8",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598024222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DESTINY",
"last_name": "SCHOONOVER",
"middle_name": "DAWN",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.