Active NPI
Heather Jo Montross, LCSW
- Clinical Social Worker
- Cheyenne, WY
National Provider Identifier
1457593345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2600 E. 18TH Street
Cheyenne, WY 82001-5511 - Phone
- (307) 633-3044
- Fax
- (307) 633-7256
- NPI assigned
- Mar 24, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2600 E. 18TH Street
Cheyenne, WY 82001-5511
Mailing address
2600 E 18TH St
Cheyenne, WY 82001-5511
Phone (307) 633-3044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW 704 | Other | WY | LICENSE |
| 1457593345 | Medicaid | WY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1457593345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 E 18TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015511",
"telephone_number": "307-633-3044",
"fax_number": "307-633-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E. 18TH STREET",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015511",
"telephone_number": "307-633-3044",
"fax_number": "307-633-7256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTROSS",
"first_name": "HEATHER",
"middle_name": "JO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-24",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LCSW 704",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457593345",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.