Active NPI
Pamela J Montgomery, L.M.S.W.
- Social Worker
- Carlsbad, NM
National Provider Identifier
1033488671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-08926
- Practice address
- 914 N Canal St
Carlsbad, NM 88220-5110 - Phone
- (575) 885-4836
- NPI assigned
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-08926 | NM | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
914 N Canal St
Carlsbad, NM 88220-5110
Mailing address
914 N Canal St
Carlsbad, NM 88220-5110
Phone (575) 885-4836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-08926 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1033488671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 N CANAL ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205110",
"telephone_number": "575-885-4836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N CANAL ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205110",
"telephone_number": "575-885-4836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "L.M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-28",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-08926",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.