Provider Demographics
NPI:1235736406
Name:CAZIER, TAWNYA (LCSW)
Entity Type:Individual
Prefix:
First Name:TAWNYA
Middle Name:
Last Name:CAZIER
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 1:2801 S RUSSELL ST STE 47
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-7914
Mailing Address - Country:US
Mailing Address - Phone:406-213-9276
Mailing Address - Fax:
Practice Address - Street 1:2801 S RUSSELL ST STE 47
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7914
Practice Address - Country:US
Practice Address - Phone:406-213-9276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT48309104100000X, 1041C0700X
WA611015641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker