Individual provider Active NPI

Dolores Montanez, LCSW

  • Clinical Social Worker
  • Fort Cavazos, TX
National Provider Identifier
1487923074
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09925078 Issued in CO
Practice address
36065 Santa Fe Ave
Fort Cavazos, TX 76544-5060
Phone
(210) 452-4554
Fax
(210) 618-0324
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 31577 TX
Clinical Social Worker 1041C0700X CSW09925078 CO Primary

Addresses

Primary practice location

36065 Santa Fe Ave
Fort Cavazos, TX 76544-5060

Mailing address

529 S 5TH St
Montrose, CO 81401-5708
Phone (210) 452-4554

Other practice location 1

2130 E Main St
Montrose, CO 81401-3834
Phone (970) 252-3200

Other practice location 2

1450 Burgess St
Delta, CO 81416-2849
Phone (970) 874-7668

Other practice location 3

1978 Babcock Rd
San Antonio, TX 78229-4512
Phone (210) 675-0066

Other names 1

  • Dolores Montanez-Rodriguez Former name

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

State licenses

LicenseStateTypeSpecialty
CSW09925078COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anita M Johnston L P C P a PastSince Dec 24, 2023 Accepting new patients
Alamo Wellness Group, LLC Past Accepting new patients
Leonard R. Kajs, PC PastSince Apr 23, 2012 Accepting new patients
Addiction Medicine Consultants of Texas, PLLC Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1487923074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015708",
            "telephone_number": "210-452-4554",
            "fax_number": "210-618-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "210-452-4554",
            "fax_number": "210-618-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 E Main St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814013834",
            "country_code": "US",
            "telephone_number": "970-252-3200",
            "fax_number": "970-252-3208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Burgess St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162849",
            "country_code": "US",
            "telephone_number": "970-874-7668",
            "fax_number": "970-874-0708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1978 Babcock Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294512",
            "country_code": "US",
            "telephone_number": "210-675-0066",
            "fax_number": "210-247-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "DOLORES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31577",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09925078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "MONTANEZ-RODRIGUEZ",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Cavazos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.