Active NPI
Donna Marie Montegna, LCSW
- Clinical Social Worker
- Del Mar, CA
National Provider Identifier
1790756021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS12772
- Practice address
- 12845 Pointe del Mar Way Ste 200
Coastal Psychiatric Medical Associates
Del Mar, CA 92014-3862 - Phone
- (858) 259-0599
- NPI assigned
- Jan 26, 2006
- 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 | LCS12772 | CA | Primary |
Addresses
Primary practice location
12845 Pointe del Mar Way Ste 200
Coastal Psychiatric Medical Associates
Del Mar, CA 92014-3862
Mailing address
3658 Wawona Dr
San Diego, CA 92106-1704
Phone (619) 225-1465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060206000807 | CA | Practitioner - Clinical Social Worker | 9133133515 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3658 Wawona Dr
San Diego, CA 92106-1704
Phone (619) 225-1465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS12772 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1790756021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3658 WAWONA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921061704",
"telephone_number": "619-225-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12845 POINTE DEL MAR WAY STE 200",
"address_2": "COASTAL PSYCHIATRIC MEDICAL ASSOCIATES",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920143862",
"telephone_number": "858-259-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEGNA",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS12772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.