Active NPI
Patricia Montagnino, M.S.W.
- Clinical Social Worker
- Matthews, NC
National Provider Identifier
1699097253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005693
- Practice address
- 2526 Plantation Center Dr Ste B
Matthews, NC 28105-5298 - Phone
- (704) 831-8968
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005693 | NC | Primary |
Addresses
Primary practice location
2526 Plantation Center Dr Ste B
Matthews, NC 28105-5298
Mailing address
6029 Gribble LN
Lancaster, SC 29720-0126
Phone (704) 831-8968
Other practice location 1
400 N Broome St
Suite 301
Waxhaw, NC 28173-7032
Phone (704) 256-0305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005693 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Child & Family Guidance, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1699097253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6029 GRIBBLE LN",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297200126",
"telephone_number": "704-831-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 PLANTATION CENTER DR STE B",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055298",
"telephone_number": "704-831-8968"
}
],
"practiceLocations": [
{
"address_1": "400 N Broome St",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Waxhaw",
"state": "NC",
"postal_code": "281737032",
"country_code": "US",
"telephone_number": "704-256-0305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTAGNINO",
"first_name": "PATRICIA",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.