Kyra L Montagu, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1025010 Issued in MA

Practice address

1105 Massachusetts Ave
Suite 2D
Cambridge, MA 02138

Phone

(617) 277-9814

Fax

(617) 277-9814

NPI assigned

Oct 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1013104330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MASSACHUSETTS AVE",
            "address_2": "SUITE 2D",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-277-9814",
            "fax_number": "617-277-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MASSACHUSETTS AVE",
            "address_2": "SUITE 2D",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-277-9814",
            "fax_number": "617-277-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGU",
        "first_name": "KYRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Monaco
• Anne Mondesir, LICSW
• Rachel M Mondrick
• Rachel Monroe
• Marlaine Marie Monroig Garcia
• Debora Monteiro
• Michael Leslie Monteiro, OTR/L
• Kazuko Takeuchi Montgomery, PSY.D.
• Sophia Montissol, RN
• Nashruva Jahan Mony

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.