Active NPI
Cari Nicole Montgomery, L.C.S.W.
- Clinical Social Worker
- Noblesville, IN
National Provider Identifier
1417972506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005703A
- Practice address
- 23 S 8TH St
Noblesville, IN 46060-2632 - Phone
- (317) 674-3160
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-011229 | IL | |
| Clinical Social Worker | 1041C0700X | 34005703A | IN | Primary |
Addresses
Primary practice location
23 S 8TH St
Noblesville, IN 46060-2632
Mailing address
4913 Graceland Ave
Indianapolis, IN 46208-3426
Phone (317) 721-1166
Other practice location 1
12337 Hancock St
Ste 20
Carmel, IN 46032-5885
Phone (317) 706-6744
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201163980 | Medicaid | IN | |
| 201178980A | Medicaid | IN | |
| IN1231 | Other | IN | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-011229 | IL | MD | Clinical Social Worker |
| 34005703A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Therapeutic Services LLC. | Clinical | Current | Accepting new patients |
| Emerald Neuro-Recover | Past | Accepting new patients |
Locations
200 Medical Dr
Ste D
Carmel, IN 46032
Phone (317) 207-0010
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Carmel, IN
- NPI 1508334814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417972506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4913 GRACELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462083426",
"telephone_number": "317-721-1166",
"fax_number": "317-663-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 S 8TH ST",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460602632",
"telephone_number": "317-674-3160"
}
],
"practiceLocations": [
{
"address_1": "12337 Hancock St",
"address_2": "Ste 20",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460325885",
"country_code": "US",
"telephone_number": "317-706-6744",
"fax_number": "317-706-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "CARI",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-011229",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005703A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201163980",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201178980A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "IN1231",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.