Wading Waters Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WADING WATERS THERAPY LLC

Practice address

114 W Pine St Ste 8
Missoula, MT 59802-4222

Phone

(406) 743-3473

Fax

(406) 821-7755

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Destiny Dawn Devine, MSW, LCSWNPI 1407503253

Title

Clinical Social Worker

Phone

(406) 750-1150

Specialties & licenses 1

Addresses

Other names 1

• Wading Waters Therapy LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Destiny Dawn Devine, MSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1407503253
  NPD Authorized official

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1831971217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 BELT BUCKLE WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598089537",
            "telephone_number": "406-750-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W PINE ST STE 8",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024222",
            "telephone_number": "406-743-3473",
            "fax_number": "406-821-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 Belt Buckle Way",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598089537",
            "country_code": "US",
            "telephone_number": "406-750-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WADING WATERS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "406-750-1150",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wading Waters Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wading Waters Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 19, 2025; 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.