Individual provider Active NPI

Dawn Montague-Joseph, LCSW-C

  • Clinical Social Worker
  • Timonium, MD
National Provider Identifier
1316152325
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12239 Issued in MD
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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 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

IdentifierTypeStateIssuer
651204MedicaidMD

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

LicenseStateTypeSpecialty
12239MDMDClinical 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.

Verify at the official NPI Registry.