Montay McDaniel

Primary specialty

Social WorkerTaxonomy code 104100000X

License

123078 Issued in CA

Practice address

9586 Sunflower Rd
Wilton, CA 95693-9739

Phone

(916) 670-8484

NPI assigned

Oct 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1164029849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9586 SUNFLOWER RD",
            "city": "WILTON",
            "state": "CA",
            "postal_code": "956939739",
            "telephone_number": "916-670-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9586 SUNFLOWER RD",
            "city": "WILTON",
            "state": "CA",
            "postal_code": "956939739",
            "telephone_number": "916-670-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MONTAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "123078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "strivesac.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "9586 Sunflower Rd",
            "city": "Wilton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956939739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael William Hansen, MS
• Inaya Mohamad Hazime, PHARM.D.
• Jaime Klosinski, LCSW
• Cristina Lockie
• Theresa Lynn Mark-McKeever
• Montay Tre'Von McDaniel II
• Sarandar Kour Newell, R.N.
• Christian Hansen Busayong Oliverio, BSN,RN
• Crystal Roberson
• Eyuel Sirak, DDS

• Social Worker in Wilton, CA
• Providers in Wilton, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.