Maria Lee, LCSW
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1477041671 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1477041671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- BBH-LCSW-LIC-30265 (MT)
- Practice address
- 445 S 5TH St W
Missoula, MT 59801-2619 - Phone
- (404) 272-5558
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
445 S 5TH St W
Missoula, MT 59801-2619
Phone (406) 272-5558
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191113001336 | MT | Practitioner - Clinical Social Worker | 2264864271 | Practice locations: Missoula, MT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-30265 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Ferriter LLC | Current |
Accepting new patients | |
| M.J.H.H., Inc. | Past |
Accepting new patients | |
| Center for Positive Change LLC | Past |
Accepting new patients |
Locations
445 S 5th St W
Missoula, MT 59801
Phone (406) 523-5625
800 Kensington Ave
Ste 208
Missoula, MT 59801
Phone (406) 461-6784
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-30265 | MT | Yes |
Addresses
Primary practice location
445 S 5TH St W
Missoula, MT 59801-2619
Mailing address
800 Kensington Ave, Ste 208
Missoula, MT 59801
Phone (406) 272-5558
Other providers in Missoula, MT
- Nathan Thomas Lebsock
- David William Lechner
- Christopher Robert Leder
- Kendra B. Lee
- Mage R Lee
- Meaghan M. Lee
- Salina Lee
- Tessa Lee
- Sarah Ann Leech Berklovich
- Andrea Leeds
All providers in Missoula, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.