| Thomas Hodgetts, Lcsw Pllc | |
|
101 E Broadway St Ste 204 Missoula MT 59802-4510 | |
| (406) 239-5279 | |
| (406) 578-8340 |
| Full Name | Thomas Hodgetts, Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 E Broadway St Ste 204, Missoula, Montana |
| Authorized Official Name and Position | Thomas Hodgetts (OWNER) |
| Authorized Official Contact | 4062395279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Hodgetts, Lcsw Pllc 2213 Greenough Ct W Missoula MT 59802-3582 Ph: (406) 239-5279 | Thomas Hodgetts, Lcsw Pllc 101 E Broadway St Ste 204 Missoula MT 59802-4510 Ph: (406) 239-5279 |
| NPI Number | 1003525262 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003525262 | NPI | - | NPPES |
| 1962791533 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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