Active NPI
Kimberly Anne Montero, LCSW
- Clinical Social Worker
- Luke Afb, AZ
National Provider Identifier
1356300461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSWS538
- Practice address
- 7219 N Litchfield Rd
Luke Afb, AZ 85309-1529 - Phone
- (623) 856-2110
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSWS538 | AK | Primary |
| Social Worker | 104100000X | 538 | AK |
Addresses
Primary practice location
7219 N Litchfield Rd
Luke Afb, AZ 85309-1529
Mailing address
7219 N Litchfield Rd
Luke Afb, AZ 85309-1529
Phone (623) 856-2110
Other names 1
- Kimberly Anne Kovalenko
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSWS538 | AK | MD | Clinical Social Worker |
| 538 | AK | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1356300461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7219 N LITCHFIELD RD",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "853091529",
"telephone_number": "623-856-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7219 N LITCHFIELD RD",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "853091529",
"telephone_number": "623-856-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTERO",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "CSWS538",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AK",
"license": "538",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "KOVALENKO",
"middle_name": "ANNE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Luke Afb, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.