Individual provider Active NPI

Monica L Montgomery, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1871972489
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924178 Issued in CO
Practice address
224 Potomac St
Aurora, CO 80011-8740
Phone
(970) 218-9341
Fax
(970) 788-7418
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 570 WY
Clinical Social Worker 1041C0700X CSW.09924178 CO Primary

Addresses

Primary practice location

224 Potomac St
Aurora, CO 80011-8740

Mailing address

224 Potomac St
Aurora, CO 80011-8740
Phone (970) 218-9341

Other identifiers 1

IdentifierTypeStateIssuer
88920054MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160405000875 CO Practitioner - Clinical Social Worker 4082929526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14241 E 4TH Ave
Suite 115
Aurora, CO 80011-8710
Phone (970) 218-9341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924178COMDClinical Social Worker
570WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monica L. Montgomery, LCSW, LLC Clinical CurrentSince Sep 5, 2017 Accepting new patients

Locations

14241 E 4th Ave
Ste 115
Aurora, CO 80011
Phone (970) 218-9341

14241 E 4th Ave
Ste 140
Aurora, CO 80011
Phone (970) 218-9341

1020 Patton St
Fort Collins, CO 80524
Phone (970) 330-6400

Organizations & group practices 2

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1871972489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118740",
            "telephone_number": "970-218-9341",
            "fax_number": "970-788-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118740",
            "telephone_number": "970-218-9341",
            "fax_number": "970-788-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MONICA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "570",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88920054",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.