Rose D Montgomery, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024043 Issued in PA

Practice address

1200 Atwater Dr Ste 130
Malvern, PA 19355-8782

Phone

(610) 646-1851

Fax

(484) 355-5181

NPI assigned

Oct 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Meditelecare of Pennsylvania LLCGroup PAC ID 8527488030, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meditelecare of Pennsylvania LLC

  • Clinical Psychologist
  • Harrisburg, PA
  • NPI 1396351847
  Medicare reassignment Care Compare group NPD
• Ellie Main Line LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malvern, PA
  • NPI 1528752037
  Medicare reassignment NPD
• Meditelecare of New Jersey LLC

  • Clinical Psychologist
  • Ewing, NJ
  • NPI 1639750797
  Medicare reassignment NPD
• Penndel Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Langhorne, PA
  • NPI 1104096973
  NPD (past)
• Penndel Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Penndel, PA
  • NPI 1710019096
  NPD (past)

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1124626254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ATWATER DR STE 130",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193558782",
            "telephone_number": "610-646-1851",
            "fax_number": "484-355-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ATWATER DR STE 130",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193558782",
            "telephone_number": "610-646-1851",
            "fax_number": "484-355-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ROSE",
        "middle_name": "D",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-04-04",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Minnick, PHD
• Margaret Gosse Miros, LPC
• Kylee Mitchell, PT, DPT
• Douglas James Moeller, MD
• Moment2Gather LLC
• Moore Eye Care, P.C.
• Juan Carlos Mora, D.M.D
• Robert Frank Morello, M.D.
• Maria Hodapp Morgan, DMD
• Renee Morgan, MSW, LCSW

• Clinical Social Worker in Malvern, PA
• Providers in Malvern, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.