Individual provider Active NPI

Destiny Dawn Devine, MSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1407503253
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-79128 Issued in MT
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

Updated by the provider on May 19, 2025

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-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 Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Wading Waters Therapy LLC Clinical CurrentSince Oct 1, 2023 Accepting new patients
Emily Wish, LLC PastSince Mar 1, 2022 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.

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

Verify at the official NPI Registry.