Provider Demographics
NPI:1174679963
Name:CLAIRMONT, TRACY ARNEL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:ARNEL
Last Name:CLAIRMONT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 1ST ST W
Mailing Address - Street 2:
Mailing Address - City:POLSON
Mailing Address - State:MT
Mailing Address - Zip Code:59860-2605
Mailing Address - Country:US
Mailing Address - Phone:406-871-8547
Mailing Address - Fax:
Practice Address - Street 1:310 1ST ST W
Practice Address - Street 2:
Practice Address - City:POLSON
Practice Address - State:MT
Practice Address - Zip Code:59860-2605
Practice Address - Country:US
Practice Address - Phone:406-871-8547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical