Individual provider Active NPI

Jean M Montjoy, MSW, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1811634629
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009973 Issued in NC
Practice address
1501 Soaring Spirit Dr
Wilmington, NC 28409-4589
Phone
(910) 264-8703
NPI assigned
May 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009973 NC Primary

Addresses

Primary practice location

1501 Soaring Spirit Dr
Wilmington, NC 28409-4589

Mailing address

1501 Soaring Spirit Dr
Wilmington, NC 28409-4589
Phone (910) 264-8703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019001152 NC Practitioner - Clinical Social Worker 1355797861 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3205 Randall Pkwy
Suite 123
Wilmington, NC 28403-2567
Phone (910) 830-0266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Come As You Are Counseling & Therapy, PLLC CurrentSince May 27, 2022 Accepting new patients

Locations

3205 Randall Pkwy
Ste 123
Wilmington, NC 28403
Phone (910) 830-0266

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1811634629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SOARING SPIRIT DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094589",
            "telephone_number": "910-264-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SOARING SPIRIT DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094589",
            "telephone_number": "910-264-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTJOY",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.