Individual provider Active NPI

Alexia Montague, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1962929679
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P011432 Issued in NC
Practice address
1306 Paddock Drive Suite E-100
Raleigh, NC 27609
Phone
(919) 790-7775
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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 P011432 NC Primary

Addresses

Primary practice location

1306 Paddock Drive Suite E-100
Raleigh, NC 27609

Mailing address

3504 Coach Lantern Avenue
Wake Forest, NC 27587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, LA, OH, OK5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240429002924 NC Practitioner - Clinical Social Worker 6800236530 Reassigns benefits to 1 organization
I20240814004053 TX Practitioner - Clinical Social Worker 6800236530 Reassigns benefits to 1 organization
I20240826002112 LA Practitioner - Clinical Social Worker 6800236530 Reassigns benefits to 1 organization
I20240924003309 OH Practitioner - Clinical Social Worker 6800236530 Reassigns benefits to 1 organization
I20260529000176 OK Practitioner - Clinical Social Worker 6800236530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eleanor Health Professional NC PLLCGroup PAC ID 5799017943, 25 clinicians

Practice addresses (Care Compare)

930 Tate Blvd SE
Suite 101
Hickory, NC 28602-4033
Phone (866) 402-7631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P011432NCMDClinical Social Worker
113393TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Oh, LLC CurrentSince Jun 5, 2024 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Eleanor Health Professional la, LLC CurrentSince Aug 9, 2024 Accepting new patients
Eleanor Health Professional NC, PLLC CurrentSince Mar 23, 2024 Accepting new patients

Locations

3901 Houma Blvd
Ste 404
Metairie, LA 70006
Phone (504) 226-8768

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

930 Tate Blvd SE
Ste 101
Hickory, NC 28602

789 White Pond Dr
Ste C
Akron, OH 44320
Phone (330) 355-3153

8500 Village Dr
Ste 101
San Antonio, TX 78217
Phone (726) 201-3047

Interoperability endpoints

  • Direct secure messaging: alexia.montague.1@21505.direct.athenahealth.com

Organizations & group practices 6

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1962929679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 COACH LANTERN AVENUE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 PADDOCK DRIVE SUITE E-100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-790-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "ALEXIA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.