Kimberly Rae McDonald-Markuson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-37628 Issued in MT

Practice address

2825 Stockyard Rd Ste F4
Missoula, MT 59808-1508

Phone

(406) 544-4055

NPI assigned

May 22, 2019

Last updated

May 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kimberly McDonald-Markuson LCSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1790339638
  NPD Authorized official
• Waxwing Psychotherapy Limited Liability Partnership

  • Clinical Social Worker
  • Polson, MT
  • NPI 1669941936
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1770140907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5605",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598065605",
            "telephone_number": "406-544-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 STOCKYARD RD STE F4",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081508",
            "telephone_number": "406-544-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598023911",
            "country_code": "US",
            "telephone_number": "406-541-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD-MARKUSON",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-37628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anne McCrea Ployhar, MA, LCPC
• Dennis Lynn McCrea, PT
• Lauren McCrillis, PCLC
• Timothy J McCue, M.D.
• Robert C McDevitt, MD
• Ashley Rae McDonald, D.P.T.
• Rebekah McDonald
• Daniel R McDonell, DC
• Aaron McDonough, D.D.S.
• Kristine Lynn McElmurry, M.A., SLP

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.