Individual provider Active NPI

Michael Montie

  • Clinical Social Worker
  • Springfield, PA
National Provider Identifier
1295750610
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005957E Issued in PA
Practice address
240 N Bishop Ave
Springfield, PA 19064-3347
Phone
(610) 626-6550
Fax
(610) 626-2069
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 005957E PA Primary

Addresses

Primary practice location

240 N Bishop Ave
Springfield, PA 19064-3347

Mailing address

100 Levittown Pkwy
Levittown, PA 19054-3502
Phone (215) 945-2550

Other identifiers 3

IdentifierTypeStateIssuer
1662862OtherPAINDEPENDENCE BLUE CROSS
7535562OtherPAAETNA
2322129000OtherPAMHS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005957EPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Clinical Consultants PastSince Jan 21, 2010 Accepting new patients
Catholic Social Services Clinical Past Accepting new patients
Villa St John Vianney PastSince Aug 4, 2020 Accepting new patients

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295750610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LEVITTOWN PKWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543502",
            "telephone_number": "215-945-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N BISHOP AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643347",
            "telephone_number": "610-626-6550",
            "fax_number": "610-626-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "005957E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "1662862",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7535562",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS",
            "identifier": "2322129000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.