Individual provider Active NPI

Meghan Elizabeth Yeomans, LCSW, LAC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1679950034
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18809 Issued in MT
Practice address
1325 Wyoming St
Missoula, MT 59801
Phone
(406) 532-9800
Fax
(406) 541-3032
NPI assigned
May 5, 2015
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-LAC-LIC-4297 MT
Clinical Social Worker 1041C0700X 18809 MT Primary

Addresses

Primary practice location

1325 Wyoming St
Missoula, MT 59801

Mailing address

3255 LT Moss Rd
Missoula, MT 59804-7220

Other practice location 1

800 Kensington Ave Ste 203
Missoula, MT 59801-5670
Phone (315) 372-3723

Other practice location 2

800 Kensington Ave Ste 203
Missoula, MT 59801-5670
Phone (315) 372-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160901002306 MT Practitioner - Clinical Social Worker 4981990843 Reassigns benefits to 1 organization
I20250507001495 NY Practitioner - Clinical Social Worker 4981990843 Practice locations: Jamesville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4933 Jamesville Rd
Jamesville, NY 13078-9439
Phone (315) 372-3723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-LAC-LIC-4297MTMDAddiction (Substance Use Disorder) Counselor
18809MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Behavioral Health, LLC Clinical CurrentSince Mar 5, 2018 Accepting new patients
Waxwing Psychotherapy Limited Liability Partnership Clinical Past Accepting new patients

Locations

800 Kensington Ave
Ste 203
Missoula, MT 59801
Phone (315) 372-3723

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1679950034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 LT MOSS RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WYOMING ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-532-9800",
            "fax_number": "406-541-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Kensington Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598015670",
            "country_code": "US",
            "telephone_number": "315-372-3723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Kensington Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598015670",
            "country_code": "US",
            "telephone_number": "315-372-3723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEOMANS",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-LIC-4297",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "18809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.