Organization Active NPI

Michael Montie LCSW LLC

  • Clinical Social Worker
  • Media, PA
National Provider Identifier
1730731035
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MICHAEL MONTIE LCSW LLC
Practice address
280 N Providence Rd Ste 106
Media, PA 19063-3530
Phone
(610) 389-4531
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Michael Montie, LCSW
Title
Owner
Phone
(610) 389-4531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

280 N Providence Rd Ste 106
Media, PA 19063-3530

Mailing address

1111 Belfield Ave.
Drexel Hill, PA 19026

Other identifiers 1

IdentifierTypeStateIssuer
CW013107OtherPA1295750610

Other names 1

  • Michael Montie LCSW LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.psychologytoday.com/us/therapists/michael-thomas-montie-media-pa/382379 Other

National Provider Directory

National Provider Directory

Locations

280 N Providence Rd
Ste 106
Media, PA 19063
Phone (610) 389-4531

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1730731035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BELFIELD AVE.",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "19026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N PROVIDENCE RD STE 106",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633530",
            "telephone_number": "610-389-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MONTIE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "MONTIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-389-4531",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1295750610",
            "identifier": "CW013107",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/michael-thomas-montie-media-pa/382379",
            "affiliation": "N",
            "endpointDescription": "Confidential Initial Intake",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Brief phone consultation",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "280 N Providence Rd Ste 106",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190633530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Michael Montie LCSW LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.