Dominica Montano, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-11036 Issued in NM

Practice address

235 Hackberry Dr
Pass Christian, MS 39571-2302

Phone

(505) 288-1105

NPI assigned

Dec 12, 2019

Last updated

Sep 26, 2023By the provider in NPPES

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 NM

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 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Changing Seasons Therapy, LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1174406987
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1164060976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HACKBERRY DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395712302",
            "telephone_number": "505-288-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HACKBERRY DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395712302",
            "telephone_number": "505-288-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "DOMINICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Nutrition, L.L.C.
• Mississippi Dental Arts
• Mississippi Superior Senior Services (Right at Home)
• Kristi Mong, PH.D.
• Michael Mong, PH.D., BCBA-D, LBA
• Shellely Jon Moore, DNP
• Shayla Morgan, RN
• Felicia Morris, OMT
• Ms Hud Dixie LLC (Pass Christian Health and Rehabilitation Center)
• Chad M Newell, P.T.

• Clinical Social Worker in Pass Christian, MS
• Providers in Pass Christian, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.