Susan E Montgomery, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07751 Issued in MD

Practice address

3930 Knowles Ave
Suite 200
Kensington, MD 20895-2428

Phone

(301) 897-8815

Fax

(301) 897-8815

NPI assigned

Aug 4, 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

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659389302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 EDWARD AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142116",
            "telephone_number": "301-897-8815",
            "fax_number": "301-897-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 KNOWLES AVE",
            "address_2": "SUITE 200",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952428",
            "telephone_number": "301-897-8815",
            "fax_number": "301-897-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Perkins Hauck, PH.D., LLC
• Elizabeth Victoria Molyneaux, M.D.
• Prince Lapnet Momo
• Montgomery Pediatric Physical Therapy Center
• Alexis Montgomery
• Angela M Moore, MSW
• Cheryl A Moore, LCSW-C
• Keith Moore, CR, LMT
• Marlene Adely Morales Martinez
• Abby Hope Morris, MD

• Clinical Social Worker in Kensington, MD
• Providers in Kensington, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.