Joel Montgomery Therapist PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14839 Issued in FL

Legal business name

JOEL MONTGOMERY THERAPIST PA

Practice address

2312 Wilton Dr
Wilton Manors, FL 33305-1249

Phone

(954) 630-2336

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Joel Montgomery, LCSWNPI 1447762315

Title

President

Phone

(954) 630-2336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Montgomery, LCSW

  • Clinical Social Worker
  • Wilton Manors, FL
  • NPI 1447762315
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1013415231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 NE 25TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051026",
            "telephone_number": "954-630-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051249",
            "telephone_number": "954-630-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL MONTGOMERY THERAPIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-630-2336",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katherine Brauss Jensen, OD
• Aretha Jester, OTR/L
• John Chaffin, Ed.D., P.a.
• John Moushati, PA
• John W. Doran, LCSW PA
• Steven Johnson, LCSW
• Tod Johnston

• Clinical Social Worker in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.