Sabrena Montgomery, LCSW-C, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17506 Issued in MD

Practice address

3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231

Phone

(240) 349-2507

Fax

(301) 494-3234

NPI assigned

Apr 2, 2014

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

Other identifiers 2

Other names 1

• Sabrena Barnes-McAllister Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sabrena.montgomery.1@30520.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16526/brand/1/csg/1/fhir/r4

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.

• Healing Minds and Hearts Services

  • Clinical Social Worker
  • White Plains, MD
  • NPI 1700233319
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1124446570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15308 SHERWIN OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534061",
            "telephone_number": "240-346-2289",
            "fax_number": "301-494-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD STE 2020",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023231",
            "telephone_number": "240-349-2507",
            "fax_number": "301-494-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SABRENA",
        "credential": "LCSW-C, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17506",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098540600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480202100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRENA",
            "last_name": "BARNES-MCALLISTER",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monarch Behavioral Therapy Bii, LLC (Behavioral Innovations)
• Monimils LLC
• John Lewis Monroe, MSW, DSW
• Lindsey Marie Montano, LPC, LGPC
• Javonda Montgomery
• Darin Moore, LAT, ATC
• Lakeysha Demar Moore
• Sandra Evette Moore, LGSW
• Shayla Kirondi Moore, OTR/L
• Winnie D Moore, LCPC

• Clinical Social Worker in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.