Organization Active NPI

Roula Agne LCSW LLC

Doing business as Roula Agne, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1497695779
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROULA AGNE LCSW LLC
Doing business as
Roula Agne, LCSW
Practice address
107 West Sussex
Missoula, MT 59801
Phone
(406) 531-2416
Fax
(855) 201-3734
NPI assigned
Mar 30, 2026
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Roula Agne, LCSWNPI 1285057232
Title
Owner
Phone
(406) 531-2416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

107 West Sussex
Missoula, MT 59801

Mailing address

PO Box 3236
Missoula, MT 59806
Phone (406) 531-2416

Other names 2

  • Roula Agne, LCSW Doing business as
  • Roula Rentzios Agne Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260611001550 MT Part B Supplier - Clinic/Group Practice 6406328392 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1497695779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3236",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59806",
            "telephone_number": "406-531-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEST SUSSEX",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-531-2416",
            "fax_number": "855-201-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROULA AGNE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "AGNE",
        "authorized_official_first_name": "ROULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-531-2416",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roula Agne, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roula Rentzios Agne",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Roula Rentzios Agne",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.