Active NPI
Jane Montanaro
- Clinical Social Worker
- Chouteau, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6064
- Practice address
- 1303 N Miami St
Chouteau, OK 74337-3765 - Phone
- (918) 289-0550
- NPI assigned
- Aug 28, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6064 | OK | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
1303 N Miami St
Chouteau, OK 74337-3765
Mailing address
1303 N Miami St
Chouteau, OK 74337-3765
Phone (918) 289-0550
Other practice location 1
3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344
Phone (888) 882-0859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220216002875 | OK | Practitioner - Clinical Social Worker | 3870986706 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Senior Psychological Care of Oklahoma, LLC
Practice addresses (Care Compare)
6202 E 61St St
Tulsa, OK 74136-2119
Phone 71385000491053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6064 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care of Oklahoma, LLC | Clinical | Current | Accepting new patients |
Locations
3434 Kentucky Pl
Bartlesville, OK 74006
Phone (918) 333-9000
6202 E 61st St
Tulsa, OK 74136
Phone (918) 477-7171
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
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": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1992139869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 N MIAMI ST",
"city": "CHOUTEAU",
"state": "OK",
"postal_code": "743373765",
"telephone_number": "918-289-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 N MIAMI ST",
"city": "CHOUTEAU",
"state": "OK",
"postal_code": "743373765",
"telephone_number": "918-289-0550"
}
],
"practiceLocations": [
{
"address_1": "3015 E Skelly Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741056344",
"country_code": "US",
"telephone_number": "888-882-0859",
"fax_number": "918-388-9708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTANARO",
"first_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "6064",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chouteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.