Katie Marie Engleson, LCSW
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1821713868 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1821713868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250305001469 | MT | Practitioner - Clinical Social Worker | 3274054333 | Practice locations: Missoula, MT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-55158 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erica House Counseling | Clinical | Current |
Accepting new patients |
Locations
2825 Stockyard Rd
Ste A15
Missoula, MT 59808
Phone (401) 753-3350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-57552 | Yes | |
| 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
Other providers in Missoula, MT
- Colleen Sheryl Enderle
- Endurance Physio
- Sara Mae Engberg
- Paula Engdahl
- Jeffrey Michael Engel
- Clarissa Ivie Anne English
- Susan C. English
- Hannah Grace Entzel
- Mackenzie Leigh Epler
- Emily O Epperson
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 Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.