Individual provider Active NPI

Alyssa Adrianna Montanez, LCSW

  • Social Worker
  • Orlando, FL
National Provider Identifier
1053009100
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW25194 Issued in FL
Practice address
8019 Charlin Pkwy
Orlando, FL 32822-7409
Phone
(321) 948-9060
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW25194 FL Primary

Addresses

Primary practice location

8019 Charlin Pkwy
Orlando, FL 32822-7409

Mailing address

1123 Blackjack Ridge St
Minneola, FL 34715-5695
Phone (321) 948-9060

Other practice location 1

1123 Blackjack Ridge St
Minneola, FL 34715-5695
Phone (321) 948-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020001246 FL Practitioner - Clinical Social Worker 7517455835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1951 NW 7TH Ave
FL 3
Miami, FL 33136-1104

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW25194FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Sep 12, 2025 Accepting new patients
Brave Health Inc. CurrentSince Dec 5, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1053009100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BLACKJACK RIDGE ST",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155695",
            "telephone_number": "321-948-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 CHARLIN PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328227409",
            "telephone_number": "321-948-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 Blackjack Ridge St",
            "address_purpose": "LOCATION",
            "city": "Minneola",
            "state": "FL",
            "postal_code": "347155695",
            "country_code": "US",
            "telephone_number": "321-948-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "ALYSSA",
        "middle_name": "ADRIANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW25194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.