Kelsey Adcock
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1730928631 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1730928631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- BBH-LCSW-LIC-70911 (MT)
- Practice address
- 735 Michigan Ave
Missoula, MT 59802-5585 - Phone
- (406) 677-1468
- NPI assigned
- May 21, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-70911 | MT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BBH-LCSW-LIC-70911 | MT | |
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-70911 | MT | Yes |
Addresses
Primary practice location
735 Michigan Ave
Missoula, MT 59802-5585
Mailing address
400 W Broadway St Ste 101
Missoula, MT 59802-4136
Phone (406) 677-1468
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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 Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.