Paisley L. Miles, LCSW
Individual provider Active NPI Clinical Social Worker · Missoula, MT
NPI 1922541606 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1922541606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- BBH-LCSW-LIC-37595 (MT)
- Practice address
- 126 E Broadway St Ste 11
Missoula, MT 59802-4566 - Phone
- (406) 471-8869
- NPI assigned
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2739 Sheffield Dr
Missoula, MT 59808-5881
PO Box
Missoula, MT 59808
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 |
|---|---|---|---|---|
| I20260105001400 | MT | Practitioner - Clinical Social Worker | 1759877376 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-37595 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Psychotherapy | Clinical | Current |
Accepting new patients |
Locations
913 SW Higgins Ave
Ste 202
Missoula, MT 59803
Phone (406) 209-8084
126 E Broadway St
Ste 11
Missoula, MT 59802
Phone (406) 471-8869
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-37595 | MT | Yes |
Addresses
Primary practice location
126 E Broadway St Ste 11
Missoula, MT 59802-4566
Mailing address
126 E Broadway St Ste 11
Missoula, MT 59802-4566
Phone (406) 207-2680
Other practice location 1
1337 Sherwood
Missoula, MT 59802
Phone (406) 471-8869
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pmiles@sagepsychotherapy-pllc.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | pmiles@sagepsychotherapy-pllc.com | Direct |
Other providers in Missoula, MT
- Mike Mondloch, Crna, Inc
- Cindy Nadine Mikes
- Logan Michael Mikkelson
- Wendy E. Miklos
- Lisa J Milch
- McKenna Leigh Mill
- Benjamin Eric Miller Castellanos
- Benjamin J Miller
- Chelsey Miller
- Cindy L Miller
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 Nov 27, 2023. 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.