Active NPI
Margaret Shea, LCSW
- Counselor
- Missoula, MT
National Provider Identifier
1407994668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 252LCSW
- Practice address
- 305 S 4TH St E
Suite 301
Missoula, MT 59801-2701 - Phone
- (406) 543-2743
- Fax
- (406) 549-9615
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 252LCSW | MT | Primary |
Addresses
Primary practice location
305 S 4TH St E
Suite 301
Missoula, MT 59801-2701
Mailing address
305 S 4TH St E
Suite 301
Missoula, MT 59801-2701
Phone (406) 543-2743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70031 | Other | MT | BLUE CROSS SHIELD |
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 |
|---|---|---|---|---|
| I20050509000413 | MT | Practitioner - Clinical Social Worker | 8022058122 | Practice locations: Missoula, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
125 Bank St
Suite 310
Missoula, MT 59802-4413
Phone (406) 549-7325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252LCSW | MT | MD | Counselor |
| 252 | MT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1407994668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S 4TH ST E",
"address_2": "SUITE 301",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598012701",
"telephone_number": "406-543-2743",
"fax_number": "406-549-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S 4TH ST E",
"address_2": "SUITE 301",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598012701",
"telephone_number": "406-543-2743",
"fax_number": "406-549-9615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MT",
"license": "252LCSW",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD",
"identifier": "70031",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 8, 2010; 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.