Individual provider Active NPI

William Montes

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1528674355
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096920 Issued in NY
Practice address
57 W Burnside Ave
Bronx, NY 10453-4038
Phone
(718) 716-4400
NPI assigned
Sep 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 096920 NY Primary

Addresses

Primary practice location

57 W Burnside Ave
Bronx, NY 10453-4038

Mailing address

57 W Burnside Ave
Bronx, NY 10453-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240320001340 NY Practitioner - Clinical Social Worker 7012354541 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bailey House IncGroup PAC ID 4385870203, 6 clinicians

Practice addresses (Care Compare)

145 E 125TH St
4TH FL
New York, NY 10035-1714
Phone (718) 277-0386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096920NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates,PC CurrentSince Feb 8, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Feb 8, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Feb 8, 2024 Accepting new patients
Bailey House Inc CurrentSince Dec 9, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Feb 8, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 8, 2024 Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

145 E 125th St
Fl 4
New York, NY 10035
Phone (718) 249-0763

1751 Park Ave
Frnt 3
New York, NY 10035
Phone (212) 289-6008

Organizations & group practices 8

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1528674355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534038",
            "telephone_number": "718-716-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.