Dacia Lee Antiste-Fisher, LCSW
NPI 1104255637ActiveIndividual· Social Worker, Clinical· Polson, MT
Social Worker, Clinical (LCSW) with Confederated Salish and Kootenai Tribes of the Flathead Reservation, practicing in Polson, Montana. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1104255637 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Nov 5, 2013 |
| Last updated in NPPES | Mar 14, 2024 |
| Certified by provider | Mar 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | BBH-LCSW-LIC-30076 | MT |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1930 | MT |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LAC-LAC-LIC-1930 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MT) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Confederated Salish and Kootenai Tribes of the Flathead ReservationSaint Ignatius, MT · 23 clinicians
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