Jernee P Montoya, LCSW CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074349 Issued in NY

Practice address

305 E 21St St Apt 3
New York, NY 10010-6509

Phone

(732) 236-7889

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1114791621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 21ST ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106509",
            "telephone_number": "732-236-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 21ST ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106509",
            "telephone_number": "732-236-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "JERNEE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCSW CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074349",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morris Samuel Ribas Montilla, PT, DPT
• Patricia Montlouis, RPH
• Jennifer L Montone, PA
• Michelle Montouth, RN
• Jose Vicente Montoya- Gacharna, MD
• Juan Pablo Montoya, LMSW
• Olsen Montoya, LMSW
• Yesika Silvana Montoya, LCSW
• Jeremy David Montrose, DMD
• Sabrina Montrose

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.