Michele A Montenegro, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12348 Issued in MD

Practice address

204 Chambersburg St
Gettysburg, PA 17325-1120

Phone

(240) 301-2443

NPI assigned

Apr 24, 2007

Last updated

Jun 24, 2022By 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 2

Addresses

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1285853770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HERRS RIDGE RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258032",
            "telephone_number": "443-310-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHAMBERSBURG ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251120",
            "telephone_number": "240-301-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020486",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Miller
• Heather Renee Minieri, MS CCC-SLP
• Mobility by Design LLC
• Allison Nikole Monn
• Jeffrey T Monsma, BA
• Montgomery Radiology Associates, PC (Adams Imaging Associates, PC)
• Montgomery Radiology Associates, PC (Gettysburg Open MRI)
• Charles Patrick Morgan, O.D.
• Robyn Michelle Morgan, PA-C
• Morgenstern Chiropractic PC

• Clinical Social Worker in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.