Mavis H. Vaillancourt, LCSW, LAC
NPI 1134139058ActiveIndividual· Social Worker, Clinical· Libby, MT
Social Worker, Clinical (LCSW, LAC) in Libby, Montana, licensed in MT, with an NPI issued in August 2006. Medicare paid $10,370 for services to 12 patients in 2024.
Overview
| NPI | 1134139058 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, LAC |
| Sole proprietor | No |
| NPI issued | Aug 9, 2006 |
| Last updated in NPPES | Mar 11, 2025 |
| Certified by provider | Mar 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 912 | MT |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1140 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 142 across 2 procedure codes |
| Paid by Medicare | $10,370 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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All 17 clinical social workers in Libby · All clinical social workers in Montana