Active NPI
Alexia Montague, LCSWA
- Clinical Social Worker
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P011432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P011432 | NC | MD | Clinical Social Worker |
| 113393 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleanor Health Professional Oh, LLC | Current | Accepting new patients | |
| Eleanor Health Professional TX, PLLC | Current | Accepting new patients | |
| Eleanor Health Professional TX, PLLC | Current | Accepting new patients | |
| Eleanor Health Professional la, LLC | Current | Accepting new patients | |
| Eleanor Health Professional NC, PLLC | Current | 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
- 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.
-
- Psychiatry Physician
- Hickory, NC
- NPI 1891349155
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Lafayette, LA
- NPI 1265050736
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Akron, OH
- NPI 1730782475
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- San Antonio, TX
- NPI 1932854981
-
- Psychiatry Physician
- Oklahoma City, OK
- NPI 1013707587
-
- Addiction Psychiatry Physician
- Denver, CO
- NPI 1891583480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.