| Debbie Viegut, Lcsw, Inc. | |
|
800 Kensington Ave Ste 211c Missoula MT 59801-5670 | |
| (406) 531-4470 | |
| (406) 926-3009 |
| Full Name | Debbie Viegut, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 800 Kensington Ave Ste 211c, Missoula, Montana |
| Authorized Official Name and Position | Debbie Viegut (OWNER/THERAPIST) |
| Authorized Official Contact | 4065314470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debbie Viegut, Lcsw, Inc. 3019 Crisco Ln Missoula MT 59803-9676 Ph: (406) 531-4470 | Debbie Viegut, Lcsw, Inc. 800 Kensington Ave Ste 211c Missoula MT 59801-5670 Ph: (406) 531-4470 |
| NPI Number | 1073013728 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 02/20/2018 |
| Medicare PECOS PAC ID | 8628304367 |
|---|---|
| Medicare Enrollment ID | O20190801002464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073013728 | NPI | - | NPPES |
| 13682766 | Other | MT | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 113637401 (Montana) | Primary |
| Provider Name | Debra Viegut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376915447 PECOS PAC ID: 5799011433 Enrollment ID: I20190802002330 |
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