| Melody Barnes, Lcsw Lac, Inc. | |
|
127 N. Higgins Suite 302 Missoula MT 59802-4457 | |
| (406) 926-6360 | |
| (406) 721-6901 |
| Full Name | Melody Barnes, Lcsw Lac, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 127 N. Higgins, Missoula, Montana |
| Authorized Official Name and Position | Melody L Barnes (PROVIDER / OWNER) |
| Authorized Official Contact | 4069266360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Barnes, Lcsw Lac, Inc. Po Box 4901 Missoula MT 59806-4901 Ph: (406) 926-6360 | Melody Barnes, Lcsw Lac, Inc. 127 N. Higgins Suite 302 Missoula MT 59802-4457 Ph: (406) 926-6360 |
| NPI Number | 1912230160 |
|---|---|
| Provider Enumeration Date | 09/04/2009 |
| Last Update Date | 10/05/2016 |
| Medicare PECOS PAC ID | 3779629712 |
|---|---|
| Medicare Enrollment ID | O20091006000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912230160 | NPI | - | NPPES |
| 071195 | Other | MT | BLUE CROSS OF MONTANA |
| 0000503737 | Medicaid | MT | |
| 071195 | Other | MT | BCBS |
| 0138957 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 423 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 699 (Montana) | Primary |
| Provider Name | Melody L Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407823065 PECOS PAC ID: 1355373200 Enrollment ID: I20050831000615 |
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