Dana C Beardslee, LCSW
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1477333227 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1477333227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- BBH-LCSW-LIC-64606 (MT)
- Practice address
- 2831 Fort Missoula Rd Ste 146
Missoula, MT 59804-7401 - Phone
- (406) 327-4043
- NPI assigned
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RCHP Billings - Missoula LLC
Practice addresses (Care Compare)
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4646
Hospital & facility affiliations
- Community Medical Center
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 |
|---|---|---|---|---|
| I20231103003073 | MT | Practitioner - Clinical Social Worker | 2567819139 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP Billings - Missoula LLC | Current |
Accepting new patients | |
| RCHP Billings - Missoula LLC | Current |
Accepting new patients |
Locations
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
2831 Fort Missoula Rd
Ste 146
Missoula, MT 59804
Phone (406) 327-3850
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-64606 | MT | Yes |
Addresses
Primary practice location
2831 Fort Missoula Rd Ste 146
Missoula, MT 59804-7401
Mailing address
6999 Uncle Robert LN Apt 8
Missoula, MT 59803-3528
Phone (406) 560-6597
NPI Registry JSON
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1477333227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6999 UNCLE ROBERT LN APT 8",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598033528",
"telephone_number": "406-560-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 FORT MISSOULA RD STE 146",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047401",
"telephone_number": "406-327-4043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARDSLEE",
"first_name": "DANA",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-64606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
- Donna G Beall
- Shivani Beall
- Bear Creek Wellness Center LLC
- Christopher Beard
- Bruce Cameron Bearder
- Beargrass Family Medicine, PLLC
- Patrick G Beatty
- Rachael M Beatty
- Crystal Beaudin
- Mary Morgan Beavers
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 Sep 29, 2023. 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.