Beth Ann Montgomery, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904018941 Issued in VA

Practice address

615 Emancipation Hwy Ste 101
Fredericksburg, VA 22401-8407

Phone

(540) 478-8008

Fax

(540) 212-2660

NPI assigned

Aug 16, 2025

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

Medicare fee-for-service enrollment

Enrolled in VA

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspring Child and Family Psychology, PCGroup PAC ID 5294036513, 9 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.

• Wellspring Child and Family Psychology, PC

  • Clinical Psychologist
  • Fredericksburg, VA
  • NPI 1477962421
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1184501843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 EMANCIPATION HWY STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018407",
            "telephone_number": "540-478-8008",
            "fax_number": "540-212-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 EMANCIPATION HWY STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018407",
            "telephone_number": "540-478-8008",
            "fax_number": "540-212-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Jason Monroe, BS, QMHP, RPRS
• Tomilola O Monroe, NP
• Brandy A Montague
• Elizabeth Anne Montana, LCSW
• Montgomery Johns, MD, Facog, LTD. (Center for Advanced Women's Medicine)
• Devon Montgomery, PTA
• Katelyn Montoya, BCBA
• Mary Susan Mooney, CRNA
• Melyssa Carroll Mooney, CRNA
• Angela Kathleen Henegar Moore, LPC

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; 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.