| Bridget Hanna, Lcsw, Pllc | |
|
129 W Kent Ave Missoula MT 59801-6730 | |
| (406) 396-6197 | |
| Not Available |
| Full Name | Bridget Hanna, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 129 W Kent Ave, Missoula, Montana |
| Authorized Official Name and Position | Bridget Hanna (LCSW) |
| Authorized Official Contact | 4063966197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Hanna, Lcsw, Pllc Po Box 3414 Missoula MT 59806-3414 Ph: (406) 396-6197 | Bridget Hanna, Lcsw, Pllc 129 W Kent Ave Missoula MT 59801-6730 Ph: (406) 396-6197 |
| NPI Number | 1760845960 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 1254622095 |
|---|---|
| Medicare Enrollment ID | O20160624001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760845960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1041 (Montana) | Primary |
| Provider Name | Bridget Hanna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891127833 PECOS PAC ID: 8628208642 Enrollment ID: I20140312001927 |
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