Myles Bradley Montgomery, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25863 Issued in CA

Practice address

7940 California Ave Ste 11
Fair Oaks, CA 95628-7155

Phone

(916) 422-2301

Fax

(916) 422-2515

NPI assigned

Oct 11, 2006

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1811085806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 CALIFORNIA AVE STE 11",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287155",
            "telephone_number": "916-833-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 CALIFORNIA AVE STE 11",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287155",
            "telephone_number": "916-422-2301",
            "fax_number": "916-422-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MYLES",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Abdelmohsen Bahr Mohamed, DDS
• Adrienne L. Monarrez, CMT, BCRTS, CVRTC
• Aaron Moncivaiz, AMFT
• Christina Montes
• Dawn Montgomery, B.C.B.A.
• Jabarious Moore
• Jacob Ryan Moore
• Deborah Nicole Morell
• Sandie Moreno, CPT
• Kent Morrison, MA, LAADC-R, CADC II

• Clinical Social Worker in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.