Active NPI
Dawn Montague-Joseph, LCSW-C
- Clinical Social Worker
- Timonium, MD
National Provider Identifier
1316152325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12239
- Practice address
- 9475 Deereco Rd
Suite 206
Timonium, MD 21093-2118 - Phone
- (410) 560-6135
- Fax
- (410) 560-6136
- NPI assigned
- May 12, 2007
- Last updated
- Dec 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12239 | MD | Primary |
Addresses
Primary practice location
9475 Deereco Rd
Suite 206
Timonium, MD 21093-2118
Mailing address
10014 Village Green Dr
Woodstock, MD 21163-1154
Phone (410) 608-8158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651204 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12239 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1316152325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 VILLAGE GREEN DR",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "211631154",
"telephone_number": "410-608-8158",
"fax_number": "410-560-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9475 DEERECO RD",
"address_2": "SUITE 206",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932118",
"telephone_number": "410-560-6135",
"fax_number": "410-560-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAGUE-JOSEPH",
"first_name": "DAWN",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "651204",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.