Gavin Wisdom, MSW, LAC, SWLC
NPI 1215638028 · Addiction (Substance Use Disorder) Counselor · Missoula, MT
Gavin Wisdom, MSW, LAC, SWLC is a Addiction (Substance Use Disorder) Counselor provider in Missoula, MT (NPI 1215638028).
Provider details
- NPI number
- 1215638028
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MSW, LAC, SWLC
- Sex
- Male
- Sole proprietor
- No
- License
- BBH-LAC-LIC-62611 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 404 3rd Ave EKalispell, MT 59901-4907Phone: (303) 601-1536
Registry dates
- Enumerated
- 2023-03-17
- Last updated
- 2023-03-17
- Certified
- 2023-03-17
Frequently asked questions
- What is Gavin Wisdom's NPI number?
- Gavin Wisdom's National Provider Identifier (NPI) is 1215638028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gavin Wisdom's specialty?
- Gavin Wisdom is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Gavin Wisdom located?
- Gavin Wisdom's practice location on file with NPPES is 2825 Stockyard Rd Ste A11, Missoula, MT 59808-1544.
- What is Gavin Wisdom's phone number?
- The practice phone number listed in the NPPES registry for Gavin Wisdom is (406) 543-5531.
- Is Gavin Wisdom's NPI active?
- Yes — Gavin Wisdom's NPI (1215638028) is active in the NPPES registry as of the last update on 2023-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.