David E Wiltfong, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWP-LCSW-LIC-12360 Issued in MT

Practice address

2423 Mullan Rd
Missoula, MT 59808-1827

Phone

(406) 241-5816

NPI assigned

Aug 26, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Last Best Place Counseling

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1366303653
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1467829390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16332",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081830",
            "telephone_number": "406-241-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 MULLAN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081827",
            "telephone_number": "406-241-5816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Philipsburg",
            "state": "MT",
            "postal_code": "598587700",
            "country_code": "US",
            "telephone_number": "406-241-5816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILTFONG",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-12360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467829390",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela C. Wilson, LCPC
• Philip Michael Wilson, D.D.S.
• Tara Mahoney Wilson, MSPT, OCS, CSCS
• Tiana Wilson, LCSW
• Tracy Louise Wilson, LCPCC
• Kate Carey Wiltfong, LCSW
• Montanna Windham, LAT, ATC
• Gary Alan Wingfield
• Ryan Winn
• Annabelle Winne, LCSW

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.

Verify at the official NPI Registry.