Elizabeth Anne Montana, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004580 Issued in VA

Practice address

125 University Blvd
Fredericksburg, VA 22406-7239

Phone

(540) 286-8985

NPI assigned

Mar 26, 2007

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

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1609994235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 BETSY ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088079",
            "telephone_number": "540-850-4955",
            "fax_number": "540-361-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 UNIVERSITY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067239",
            "telephone_number": "540-286-8985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Hanson Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013175",
            "country_code": "US",
            "telephone_number": "540-361-4330",
            "fax_number": "540-361-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANA",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monday Courage LLC
• Juan Manuel Mondillo
• Aaron Jason Monroe, BS, QMHP, RPRS
• Tomilola O Monroe, NP
• Brandy A Montague
• Montgomery Johns, MD, Facog, LTD. (Center for Advanced Women's Medicine)
• Beth Ann Montgomery, LCSW, MSW
• Devon Montgomery, PTA
• Katelyn Montoya, BCBA
• Mary Susan Mooney, CRNA

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.