Mario Cesar Montano, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61473925 Issued in WA

Practice address

510 E Amende Dr
Odessa, WA 99159-7003

Phone

(509) 982-2614

NPI assigned

Sep 22, 2023

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1376322008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 E MAGNESIUM RD APT 260",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087304",
            "telephone_number": "509-431-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E AMENDE DR",
            "city": "ODESSA",
            "state": "WA",
            "postal_code": "991597003",
            "telephone_number": "509-982-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "MARIO",
        "middle_name": "CESAR",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61473925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln County Public Hospital District 1
• Lincoln County Public Hospital District 1
• Lincoln County Public Hospital District 1
• Lincoln County Public Hospital District 1
• Lincoln County Public Hospital District 1
• Janelle Rae Moore
• Odessa Drugs
• Odessa School District
• Providence Health & Services - Washington
• Violet Frances Rice, FNP

• Clinical Social Worker in Odessa, WA
• Providers in Odessa, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.