Robert Sanford Montague, LCSW, MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 16550 Issued in CA

Practice address

6030 Turquoise Dr
Rocklin, CA 95677-4712

Phone

(916) 630-9188

Fax

(916) 485-1569

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Roman Sanford Montague Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154525913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 TURQUOISE DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774712",
            "telephone_number": "916-630-9188",
            "fax_number": "916-485-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 TURQUOISE DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774712",
            "telephone_number": "916-630-9188",
            "fax_number": "916-485-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "ROBERT",
        "middle_name": "SANFORD",
        "name_prefix": "Mr.",
        "credential": "LCSW, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 16550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMAN",
            "last_name": "MONTAGUE",
            "middle_name": "SANFORD",
            "prefix": "MR.",
            "credential": "LCSW, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mohamed H Khan MD Inc
• Estera Moldovan
• Madelynn Therese Momeyer
• Hailey Paige Monaco
• Danielle Monaghan
• Montclair Villa, Inc.
• Kaelyn Montes
• Bradley Steven Montgomery, PH.D.
• Jenna Montoya
• Tammie Mooney

• Clinical Social Worker in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.