Individual provider Active NPI

Kibibi Lateef Wood-Montgomery, CSW

  • Social Worker
  • New Albany, IN
National Provider Identifier
1487261996
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7115 Issued in KY
Practice address
2820 Grant Line Rd # 10
New Albany, IN 47150-2494
Phone
(812) 981-2594
NPI assigned
Sep 29, 2020
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7115 KY Primary
Clinical Social Worker 1041C0700X 34011446A IN

Addresses

Primary practice location

2820 Grant Line Rd # 10
New Albany, IN 47150-2494

Mailing address

1232 Sportsman Dr
Jeffersonville, IN 47130-6151
Phone (502) 500-3327

Other practice location 1

1701 Spring St Ste B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kibibi.montgomery@lifespringhealthsystems.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121003251 IN Practitioner - Clinical Social Worker 9032696059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 Spring St
Suite B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34011446AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Family Practice Rick Bobay LLC Clinical CurrentSince Dec 18, 2025 Accepting new patients
Total Care Family Practice Rick Bobay LLC Clinical CurrentSince Dec 18, 2025 Accepting new patients
Transitions Health Network LLC Past Accepting new patients

Locations

2516 Waterbridge Way
Evansville, IN 47710
Phone (812) 491-9000

1701 Spring St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 284-2272

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1487261996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 SPORTSMAN DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306151",
            "telephone_number": "502-500-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GRANT LINE RD # 10",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502494",
            "telephone_number": "812-981-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Spring St Ste B",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471302930",
            "country_code": "US",
            "telephone_number": "812-284-2273",
            "fax_number": "812-284-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD-MONTGOMERY",
        "first_name": "KIBIBI",
        "middle_name": "LATEEF",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7115",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011446A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kibibi.montgomery@lifespringhealthsystems.org",
            "affiliation": "N",
            "address_1": "2820 Grant Line Rd # 10",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471502494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.