Individual provider Active NPI

Brittni Montgomery, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1265928741
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002352 Issued in OH
Practice address
12100 Superior Ave
Cleveland, OH 44106-1444
Phone
(216) 851-2600
Fax
(216) 851-2600
NPI assigned
Jul 8, 2018
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2002352 OH Primary

Addresses

Primary practice location

12100 Superior Ave
Cleveland, OH 44106-1444

Mailing address

4800 Payne Ave
Cleveland, OH 44103-2443
Phone (216) 231-7700

Other practice location 1

8300 Hough Ave
Cleveland, OH 44103-4247
Phone (216) 231-7700

Other practice location 2

15201 Euclid Ave
East Cleveland, OH 44112-2803
Phone (216) 541-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20201027002354 OH Practitioner - Clinical Social Worker 1456761766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Oct 21, 2022 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
The Metrohealth System CurrentSince Oct 21, 2022 Accepting new patients

Locations

12100 Superior Ave
Cleveland, OH 44106
Phone (216) 231-7700

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4800 Payne Ave
Cleveland, OH 44103
Phone (216) 231-7700

8300 Hough Ave
Cleveland, OH 44103
Phone (216) 231-7700

15201 Euclid Ave
East Cleveland, OH 44112
Phone (216) 541-5600

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1265928741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 PAYNE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032443",
            "telephone_number": "216-231-7700",
            "fax_number": "216-231-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 SUPERIOR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061444",
            "telephone_number": "216-851-2600",
            "fax_number": "216-851-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Hough Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441034247",
            "country_code": "US",
            "telephone_number": "216-231-7700",
            "fax_number": "216-231-7920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15201 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "East Cleveland",
            "state": "OH",
            "postal_code": "441122803",
            "country_code": "US",
            "telephone_number": "216-541-5600",
            "fax_number": "216-541-5658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BRITTNI",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.