Individual provider Active NPI

James Montavon, MSW, LISW

  • School Social Worker
  • Miamisburg, OH
National Provider Identifier
1770906281
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I.0900215 Issued in OH
Practice address
540 Park Ave
Miamisburg, OH 45342-2854
Phone
(937) 865-0011
NPI assigned
Feb 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X I.0900215 OH Primary

Addresses

Primary practice location

540 Park Ave
Miamisburg, OH 45342-2854

Mailing address

5212 Greenbush CT
Dayton, OH 45429-5832

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

LicenseStateTypeSpecialty
I.0900215OHMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1770906281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 GREENBUSH CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454295832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARK AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422854",
            "telephone_number": "937-865-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAVON",
        "first_name": "JAMES",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "I.0900215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.