Active NPI
Thomas John Basolo, LAC
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1861270944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-SWLC-LIC-71592
- Practice address
- 3000 Palmer St Ste B
Missoula, MT 59808-1671 - Phone
- (406) 541-4673
- NPI assigned
- Sep 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-SWLC-LIC-71592 | MT | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-LAC-LIC-64524 | MT |
Addresses
Primary practice location
3000 Palmer St Ste B
Missoula, MT 59808-1671
Mailing address
3000 Palmer St Ste B
Missoula, MT 59808-1671
Phone (406) 541-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LAC-LIC-64524 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| BBH-SWLC-LIC-71592 | MT | MD | Clinical Social Worker |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Missoula, MT
- NPI 1164568994
-
- Case Management Agency
- Missoula, MT
- NPI 1558483206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1861270944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 PALMER ST STE B",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081671",
"telephone_number": "406-541-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 PALMER ST STE B",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081671",
"telephone_number": "406-541-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASOLO",
"first_name": "THOMAS",
"middle_name": "JOHN",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-19",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-SWLC-LIC-71592",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "BBH-LAC-LIC-64524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.