Cristen A Montagnino, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007225 Issued in NC

Practice address

400 N Broome St
Waxhaw, NC 28173-7032

Phone

(516) 551-4942

NPI assigned

Jun 13, 2011

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Endeavor Counseling Group PLLC

  • Community/Behavioral Health Agency
  • Waxhaw, NC
  • NPI 1588065718
  NPD (past) Authorized official

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1730474248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 CORAL BERRY LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738089",
            "telephone_number": "516-551-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BROOME ST",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737032",
            "telephone_number": "516-551-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGNINO",
        "first_name": "CRISTEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leena Jemba Mitchell, FNP-C
• Lorrene Mithers, LPC
• Mona Mobasseri
• Cornelia Moldovan, CORNELIA MOLDOVAN
• Monarch
• Allison Mackenzie Moore, DDS
• Ashlie Rochelle Moore
• Sarah Ann Morgan, OTD, OTR/L
• Ryan Jamison Motte, PHARMD
• Lauren Jennifer Mullan, M.A., OTR/L

• Clinical Social Worker in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.