MEDICARE: HANNAH MARIE HIGGINS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	BBH-LCSW-LIC-72839	MT

General Provider Information

NPI Number	:	1134941016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MARIE HIGGINS LCSW

Provider Business Mailing Address
First Line	:	1290 S 3RD ST W STE C
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-2397
Country	:	US
Telephone Number	:	805-540-9395
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 BURLINGTON AVE STE 206
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-5666
Country	:	US
Telephone Number	:	805-540-9395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2024
Last Update Date	:	01/21/2026

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