Jaid-Alexandra Montgomery, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

29677 Issued in MD

Practice address

136 W Main St
Elkton, MD 21921-5541

Phone

(410) 996-4878

NPI assigned

Feb 3, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Changing Tides Therapeutic & Consultative Services, LLC

  • Clinical Social Worker
  • Elkton, MD
  • NPI 1609518869
  NPD

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1295549129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 GREEN HILL FARM RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365132",
            "telephone_number": "410-206-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215541",
            "telephone_number": "410-996-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 Green Hill Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211365132",
            "country_code": "US",
            "telephone_number": "410-206-7802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JAID-ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "29677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Mitchell, MONICA MITCHELL
• MNR Industries, LLC
• Usman Moghal, M.D.
• Steve Montalvo, DPT
• Robert Anthony Monteleone, M.D.
• Ronald Tyler Montgomery, LGPC
• Andrew Thomas Moore, MSN, APRN, PMHNP-BC
• Stacey Moran, CAC-AD
• Malcolm K Moses-Hampton, MD
• Toccara Monique Mosley, CRNP

• Social Worker in Elkton, MD
• Providers in Elkton, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.