ADAM BOOMER LLC - NPI 1477420230 - Social Worker in Missoula, MT

Q: What is Adam Boomer LLC's NPI number?

The NPI number for Adam Boomer LLC is 1477420230. It was assigned to this organization in the NPPES registry on October 17, 2025.

Q: What is Adam Boomer LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adam Boomer LLC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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About Adam Boomer Llc NPPES

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

ADAM BOOMER LLC (NPI 1477420230) is a healthcare organization registered as a clinical in Missoula, Montana and active in the NPI registry since October 2025. The organization lists Adam Boomer, Therapist, as its authorized official.

NPPES Registry Identity

NPI1477420230

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameADAM BOOMER LLC

Location Address800 KENSINGTON AVE STE 201Missoula, MT 59801-5670

Mailing Address800 Kensington Ave Ste 201Missoula, MT 59801-5674 · (406) 830-5095

Phone(406) 830-5095

Organization SubpartNo

Authorized OfficialAdam BoomerTherapist · (406) 830-5095

Enumeration DateOctober 17, 2025

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedOctober 24, 2025

✔ NPI 1477420230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

800 KENSINGTON AVE STE 201, Missoula, MT 59801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

CALLIE HEISKELL LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))