Individual provider Active NPI

Maureen Montrose, LCSW

  • Social Worker
  • Orangeburg, NY
National Provider Identifier
1609497957
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
085471-1 Issued in NY
Practice address
140 Old Orangeburg Rd BLDG 57
Orangeburg, NY 10962-1154
Phone
(845) 680-7646
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 085471-1 NY Primary

Addresses

Primary practice location

140 Old Orangeburg Rd BLDG 57
Orangeburg, NY 10962-1154

Mailing address

140 Old Orangeburg Rd BLDG 57
Orangeburg, NY 10962-1154
Phone (845) 680-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085471-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1609497957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD BLDG 57",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621154",
            "telephone_number": "845-680-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD BLDG 57",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621154",
            "telephone_number": "845-680-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTROSE",
        "first_name": "MAUREEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085471-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.