Montana Mick, BSW

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1401 E 7TH St
Charlotte, NC 28204-6300

Phone

(704) 780-4271

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Montana Mick Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1134746183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 TYRO RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272950618",
            "telephone_number": "336-596-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282046300",
            "telephone_number": "704-780-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICK",
        "first_name": "MONTANA",
        "name_prefix": "Ms.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTANA",
            "last_name": "MICK",
            "prefix": "MS.",
            "credential": "BSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stanley Michalski III
• Jill Francine Michaud, FNP
• Laura Michaud
• Lisa M Michaud, OTR/L
• Chenel Michel, M.D.
• Meredith A Mickalis
• Marcus Mickell
• Kenyah Monet Mickens-Smith, LMFT, LCAS
• Micum Health PLLC
• Mid Carolina Cardiology 2LLC

• Behavior Technician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.