Tchernavia Ranesfore Montgomery, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007562 Issued in NC

Practice address

3324 Crutchfield PL
Charlotte, NC 28213-4823

Phone

(704) 492-9399

NPI assigned

Aug 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1487887113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 CRUTCHFIELD PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134823",
            "telephone_number": "704-492-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 CRUTCHFIELD PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134823",
            "telephone_number": "704-492-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "TCHERNAVIA",
        "middle_name": "RANESFORE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106330",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grayson Marie Montgomery, LCSWA
• Kathryn Ann Montgomery, LCMHCA
• Kimberly Nesbitt Montgomery, FNP
• Monique M Montgomery, LCSW, LCDP
• Samuel Montgomery
• Thomas Montgomery, MD
• Tia Michele Montiero
• Jenna Simonne Montminy, DMD
• Lucille Pauline Montminy, FNP-C
• Michelle Montoya-Pedroza

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.