Katrellia Montague, LCSW, MPH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R012889 Issued in NY

Practice address

506 W 145TH St
PMB 7
New York, NY 10031-5403

Phone

(917) 744-5496

Fax

(919) 771-2050

NPI assigned

Mar 8, 2010

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

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1811210768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BAY RUM LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106183",
            "telephone_number": "919-771-2010",
            "fax_number": "919-771-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W 145TH ST",
            "address_2": "PMB 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315403",
            "telephone_number": "917-744-5496",
            "fax_number": "919-771-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "KATRELLIA",
        "name_prefix": "Ms.",
        "credential": "LCSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R012889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Montagna, LMHC
• Katerina Montagnaro
• Angela M. Montague, LCSW-R
• Christal Nicole Montague, MSW, LMHC, CASAC
• Janice C Montague, LCSW
• Twyla Montague, LCSW
• Anne Montal, M.D.
• Mae Isabel Loro Montalba
• Maria Roxette Calulo Montales
• Daniela Montalto, PHD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.