Mia Frances Montgomery, LMSW,LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075509-1 Issued in NY

Practice address

71 W 23Rd St
7TH Floor
New York, NY 10010-4102

Phone

(212) 576-4100

NPI assigned

Jul 6, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  NPD (past)
• Postgraduate Center for Mental Health

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1629127725
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1508897356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RUTLAND RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255312",
            "telephone_number": "347-267-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 23RD ST",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104102",
            "telephone_number": "212-576-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MIA",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "LMSW,LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075509-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyawanna Montgomery
• Marissa Montgomery, CASAC-T
• Marlena E Montgomery, M.A., M.S
• Mary E Montgomery, MS,RD,CDN
• Mary Elizabeth Montgomery, NP-C
• Morgan Montgomery, M.D.
• Patricia Montgomery, RN
• Samuel Rufus Montgomery Jr., MD
• Kristina Monti, LCSW
• Louis Gerard Monti, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.