Individual provider Active NPI

Elizabeth Montgomery

  • Clinical Social Worker
  • Hinsdale, IL
National Provider Identifier
1487149878
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020072 Issued in IL
Practice address
8 Salt Creek LN Ste 202
Hinsdale, IL 60521-2903
Phone
(331) 221-2520
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149020072 IL Primary

Addresses

Primary practice location

8 Salt Creek LN Ste 202
Hinsdale, IL 60521-2903

Mailing address

8 Salt Creek LN Ste 202
Hinsdale, IL 60521-2903

Other practice location 1

9845 S Clifton Park Ave
Evergreen Park, IL 60805-3008
Phone (773) 771-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2026 through Jan 29, 2028

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1487149878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SALT CREEK LN STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SALT CREEK LN STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212903",
            "telephone_number": "331-221-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9845 S Clifton Park Ave",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608053008",
            "country_code": "US",
            "telephone_number": "773-771-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.