Jerry A Montgomery in Michigan City - Clinical
Jerry A Montgomery - NPI 1750456356
Jerry A Montgomery is a Clinical in Michigan City, Indiana. Jerry A Montgomery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry A Montgomery is 1750456356. The last update date is 2008-03-18.
Jerry A Montgomery's current location address is 226 Barker Rd, Michigan City, Indiana. You can contact this provider via phone number 2196170526. The mailing address for Jerry A Montgomery is 226 Barker Rd, Michigan City, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry A Montgomery |
|---|---|
| Address | 226 Barker Rd, Michigan City, Indiana |
| Phone Number | 2196170526 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW ACSW L |
NPI Number Detail
| NPI Number | 1750456356 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
| Address | 226 Barker Rd |
|---|---|
| City | Michigan City |
| State | Indiana (IN) |
| Post Code | 46360 |
| Phone Number | 2196170526 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34002011A |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Jerry A Montgomery by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry A Montgomery has been assigned the NPI (National Provider Identifier) 1750456356. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jerry A Montgomery's facilities are situated?
The facilities of Jerry A Montgomery are physically located at the following address: 226 Barker Rd, Michigan City, IN, 46360.
What is the Jerry A Montgomery's specialty and taxonomy code?
The Jerry A Montgomery's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Jerry A Montgomery receive its 1750456356 assignment?
The Jerry A Montgomery was assigned its 1750456356 on 2006-11-21, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jerry A Montgomery most recently updated or revised?
The information pertaining to Jerry A Montgomery, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-18.