Individual provider Active NPI

Margaret Shea, LCSW

  • Counselor
  • Missoula, MT
National Provider Identifier
1407994668
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
252LCSW Issued in MT
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

Updated by the provider on Nov 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
70031OtherMTBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
252LCSWMTMDCounselor
252MTMDPhysician 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

Verify at the official NPI Registry.