Individual provider Active NPI

Altagracia Montilla

  • Social Worker
  • Newburgh, NY
National Provider Identifier
1831923507
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
263 Route 17K Ste 107a
Newburgh, NY 12550-8345
Phone
(929) 402-4051
NPI assigned
Aug 27, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

263 Route 17K Ste 107a
Newburgh, NY 12550-8345

Mailing address

2255 State Route 32 Unit 619
Modena, NY 12548-7027
Phone (845) 200-9230

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire to Wellness Behavioral Health, LCSW, PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2255 State Route 32
Unit 619
Modena, NY 12548
Phone (845) 200-9230

263 Route 17K
Ste 107A
Newburgh, NY 12550
Phone (845) 200-9230

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1831923507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 STATE ROUTE 32 UNIT 619",
            "city": "MODENA",
            "state": "NY",
            "postal_code": "125487027",
            "telephone_number": "845-200-9230",
            "fax_number": "845-622-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 ROUTE 17K STE 107A",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508345",
            "telephone_number": "929-402-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTILLA",
        "first_name": "ALTAGRACIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.