Phillip A Hamilton, LCSW LAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Missoula, MT

NPI 1508963323 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1508963323
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
916 (MT)
Practice address
101 E Broadway
Ste 402
Missoula, MT 59802
Phone
(406) 546-7956
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
916MTMDAddiction (Substance Use Disorder) Counselor
608LCSWMTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lezlie L McKenzie MSN Aprn BC PLLC Current Accepting new patients
Michelle Moles LCSW Lac Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 916 MT Yes
Clinical Social Worker 1041C0700X 608LCSW MT

Addresses

Primary practice location

101 E Broadway
Ste 402
Missoula, MT 59802

Mailing address

101 E Broadway
Ste 402
Missoula, MT 59802
Phone (406) 546-7956

Other providers in Missoula, MT

All providers in Missoula, MT · Addiction (Substance Use Disorder) Counselor in Montana

Sources for this page

Verify at the official NPI Registry.