Active NPI
Lindsey Montgomery, LCSW
- Social Worker
- Marshall, TX
National Provider Identifier
1043793664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 60640
- Practice address
- 620 S Grove St Ste 105
Marshall, TX 75670-5295 - Phone
- (903) 720-3966
- NPI assigned
- Sep 10, 2018
- Last updated
- May 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 60640 | TX | Primary |
Addresses
Primary practice location
620 S Grove St Ste 105
Marshall, TX 75670-5295
Mailing address
PO Box 1326
Marshall, TX 75671-1326
Phone (903) 927-3782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60640 | Other | TX | TX HHS LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60640 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchored Hope and Healing, PLLC | Multi-Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1043793664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1326",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756711326",
"telephone_number": "903-927-3782",
"fax_number": "903-927-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S GROVE ST STE 105",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756705295",
"telephone_number": "903-720-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "LINDSEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "TX",
"license": "60640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX HHS LICENSE",
"identifier": "60640",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.