Individual provider Active NPI

Maria Ceja Montano, LCSW

  • Clinical Social Worker
  • Visalia, CA
National Provider Identifier
1295045870
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 25011 Issued in CA
Practice address
1830 S Central St
Visalia, CA 93277-4418
Phone
(559) 730-2969
Fax
(559) 730-2991
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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 LCS 25011 CA Primary

Addresses

Primary practice location

1830 S Central St
Visalia, CA 93277-4418

Mailing address

1830 S. Central St.
Visalia, CA 93277
Phone (559) 730-2969

Other names 1

  • Miss Maria De la Luz Ceja Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240618001683 CA Practitioner - Clinical Social Worker 3173066206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25011CAMDAddiction (Substance Use Disorder) Counselor
LCS 25011CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point of Central California, Inc. Current Accepting new patients
Turning Point of Central California, Inc. CurrentSince Apr 24, 2024 Accepting new patients
Turning Point of Central California, Inc. CurrentSince Apr 24, 2024 Accepting new patients
Tulare County Office of Education PastSince Oct 29, 2023 Accepting new patients

Locations

3636 N 1st St
Ste 124
Fresno, CA 93726
Phone (559) 224-4366

615 S Atwood St
Visalia, CA 93277
Phone (559) 730-8086

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1295045870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S. CENTRAL ST.",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-730-2969",
            "fax_number": "559-730-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S CENTRAL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774418",
            "telephone_number": "559-730-2969",
            "fax_number": "559-730-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "MARIA",
        "middle_name": "CEJA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CEJA",
            "middle_name": "DE LA LUZ",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.