Montana McKim, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124452 Issued in MA

Practice address

447 West St
Amherst, MA 01002-2933

Phone

(413) 570-0566

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1487034534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3636",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010043636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 WEST ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022933",
            "telephone_number": "413-570-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 W Main St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "MA",
            "postal_code": "013641150",
            "country_code": "US",
            "telephone_number": "413-372-9852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 W Main St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "MA",
            "postal_code": "013641150",
            "country_code": "US",
            "telephone_number": "413-570-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIM",
        "first_name": "MONTANA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darien F. S. McFadden, PH.D.
• Edward Ralph McGlynn, PA-C
• Spencer McIntyre
• Mary Sherilyn McKay, MASSAGE THERAPIST
• Jenifer E McKenna, LICSW
• Elizabeth McNamara, LICSW
• Susan McQuiston, PH.D
• Melissa Miller PHD LLC
• Angela Menard, OTR/L
• Hayley Mae Mermelstein, ACUPUNCTURIST

• Clinical Social Worker in Amherst, MA
• Providers in Amherst, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.