IndividualActive
Adam Boomer
NPI 1194485607 · Clinical Social Worker · Missoula, MT
Provider details
- NPI number
- 1194485607
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- BBH-LCSW-LIC-81440 (MT)
Practice location
800 Kensington Ave Ste 201
Missoula, MT 59801-5674
Phone: (406) 830-5095
Mailing address
2750 Terrace Dr
Missoula, MT 59803-9732
Registry dates
- Enumerated
- 2021-12-23
- Last updated
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.