DACIA LEE ANTISTE-FISHER (NPI# 1104255637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104255637 |
| Entity Type | Individual |
| Full Name | DACIA LEE ANTISTE-FISHER |
| Other Name | DACIA LEE ANTISTE |
| Credential | LCSW |
| Practice Address |
#5 4th Ave. E. Polson MT 59860 |
| Mailing Address |
P.o. Box 880 St. Ignatius MT 59865 |
| Practice Telephone | 4067453525 |
| Practice Fax Number | 4067453529 |
| Mailing Telephone | 4067453525 |
| Mailing Fax Number | 4067453529 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1930 | MT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LAC-LAC-LIC-1930 | MT | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
30076 | MT | Behavioral Health & Social Service Providers |
| Street Address |
#5 4TH AVE. E. |
| City | POLSON |
| State | MT |
| Zip Code | 59860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770074478 | Diamond Tieafern Courville | Registered Nurse | #5 4th Ave. E., Polson, MT 59860 | 2018-05-29 |
| 1386058345 | Amy M. Johnson | Physician Assistant | #5 4th Ave. E., Polson, MT 59860 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| 1477727956 | Bernadette N. Corum | Family Medicine | #5 4th Ave. East, Polson, MT 59860 | 2008-04-16 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578063616 | Jean Allison Church | Social Worker | 601 1st St E, Polson, MT 59860-2717 | 2018-02-15 |
| 1750742979 | Margaret Schildt | Social Worker | 103 Whitewater St Ste A, Polson, MT 59860-4502 | 2016-03-15 |
| 1962862664 | Amy Lynn Odegaard | Social Worker | 1602 2nd St W, Polson, MT 59860-4005 | 2016-02-24 |
| 1346671708 | Anne Dannis Lowe | Social Worker | 2 6th Ave E, Polson, MT 59860-2726 | 2013-12-10 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1093999013 | Jacqueline M. Murray Kruzen | Social Worker | 40832 Lake Vista Ct, Polson, MT 59860 | 2007-12-27 |
| 1255521829 | Coralie Laeupple | Social Worker | 312 4th Ave E, Polson, MT 59860-2314 | 2007-07-30 |
| 1063443927 | Sheila M Bell | Social Worker | 802 Main St Ste C, Polson, MT 59860-3200 | 2006-07-06 |
| 1114526902 | Jade Creek Counseling | Social Worker | 2 6th Ave E, Polson, MT 59860-2726 | 2020-10-22 |
| 1760007058 | Mind Flow Therapeutics LLC | Social Worker | 2 6th Ave E, Polson, MT 59860-2726 | 2020-06-11 |
| Find all providers in POLSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.