Organization Active NPI

Libby McIntyre, LCSW, Acsw, PLLC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1912182072
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
476-LCSW Issued in MT
Legal business name
LIBBY MCINTYRE, LCSW, ACSW, PLLC
Practice address
700 South Ave W
Suite B
Missoula, MT 59801-8000
Phone
(406) 541-0202
Fax
(406) 541-0203
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Ms. Libby McIntyre, MSW
Title
Director
Phone
(406) 541-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 476-LCSW MT Primary

Addresses

Primary practice location

700 South Ave W
Suite B
Missoula, MT 59801-8000

Mailing address

PO Box 1494
Missoula, MT 59806-1494
Phone (406) 541-0202

National Provider Directory

National Provider Directory

Locations

2112 Dixon Ave
Ste 7
Missoula, MT 59801
Phone (406) 541-0202

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1912182072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1494",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598061494",
            "telephone_number": "406-541-0202",
            "fax_number": "406-541-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTH AVE W",
            "address_2": "SUITE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018000",
            "telephone_number": "406-541-0202",
            "fax_number": "406-541-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBBY MCINTYRE, LCSW, ACSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-541-0202",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "476-LCSW",
            "primary": true
        }
    ],
    "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 7, 2008; 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.