Individual provider Active NPI

Katie Marie Engleson, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1821713868
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-57552
Practice address
2825 Stockyard Rd Ste A15
Missoula, MT 59808-1545
Phone
(401) 753-3350
NPI assigned
Oct 11, 2022
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-57552 Primary
Clinical Social Worker 1041C0700X BBH-LCSW-55158 MT

Addresses

Primary practice location

2825 Stockyard Rd Ste A15
Missoula, MT 59808-1545

Mailing address

619 SW Higgins Ave
Missoula, MT 59803-1467
Phone (405) 203-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250305001469 MT Practitioner - Clinical Social Worker 3274054333 Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2825 Stockyard Rd
Suite A15
Missoula, MT 59808-1545
Phone (401) 753-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-55158MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erica House Counseling Clinical CurrentSince Nov 8, 2025 Accepting new patients

Locations

2825 Stockyard Rd
Ste A15
Missoula, MT 59808
Phone (401) 753-3350

Organizations & group practices 1

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1821713868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SW HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031467",
            "telephone_number": "405-203-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 STOCKYARD RD STE A15",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081545",
            "telephone_number": "401-753-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLESON",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "BBH-LCSW-LIC-57552",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-55158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.