ROBIE J MARCOUX MSW, LCSW
NPI 1265999726
Social Worker - Clinical in Helena, MT

Active since February 20, 2019PECOS EnrolledAccepts Medicare Assignment
516 FULLER AVE STE 1, HELENA, MT 59601(406) 461-2264 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2025, Feb 20, 2019 (2 updates tracked since 2019).

About Robie J Marcoux Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBIE J MARCOUX MSW, LCSW (NPI 1265999726) is an individual clinical provider in Helena, Montana, licensed in Montana (37226) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265999726
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameROBIE J MARCOUXCredential: MSW, LCSW
Location Address516 FULLER AVE STE 1Helena, MT 59601-3421
Mailing Address2725 Country RdHelena, MT 59602-0243 · (406) 461-2264
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 20, 2019
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
NPI 1265999726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MT · 37226
Definition
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.
516 FULLER AVE STE 1, Helena, MT 59601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robie J Marcoux Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587905005
PECOS Enrollment IDI20190410002764
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
320 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.81 – $172.26
Typical copayment $0.00 (range $14.20 – $43.06)
Most-billed visit code NA
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
516 FULLER AVE STE 1
HELENA, MT 59601
Counselor (Professional)
516 FULLER AVE STE 1
HELENA, MT 59601
Social Worker (School)
516 FULLER AVE STE 1
HELENA, MT 59601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robie Marcoux's NPI number?

The NPI number for Robie Marcoux is 1265999726. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Where is Robie Marcoux located?

Robie Marcoux practices at 516 Fuller Ave Ste 1, Helena, MT 59601. The listed phone number is (406) 461-2264.

What is Robie Marcoux's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Robie Marcoux enrolled in Medicare?

Yes. Robie Marcoux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robie Marcoux accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Robie Marcoux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robie Marcoux was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.