Kimberly Rae McDonald-Markuson, LCSW
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1770140907 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1770140907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- BBH-LCSW-LIC-37628 (MT)
- Practice address
- 2825 Stockyard Rd Ste F4
Missoula, MT 59808-1508 - Phone
- (406) 544-4055
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly McDonald-Markuson LCSW | Clinical | Current |
Accepting new patients |
| Waxwing Psychotherapy Limited Liability Partnership | Clinical | Past | Accepting new patients |
Locations
2825 Stockyard Rd
Ste F4
Missoula, MT 59808
Phone (406) 241-1693
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-37628 | MT | Yes |
Addresses
Primary practice location
2825 Stockyard Rd Ste F4
Missoula, MT 59808-1508
Mailing address
PO Box 5605
Missoula, MT 59806-5605
Phone (406) 544-4055
Other practice location 1
1120 Cedar St
Missoula, MT 59802-3911
Phone (406) 541-4673
Other providers in Missoula, MT
- Emily Anne McCrea Ployhar
- Dennis Lynn McCrea
- Lauren McCrillis
- Timothy J McCue
- Robert C McDevitt
- Ashley Rae McDonald
- Rebekah McDonald
- Daniel R McDonell
- Aaron McDonough
- Kristine Lynn McElmurry
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 May 22, 2019. 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.