Jill Montgomery is a Clinical in Austin, Texas. Jill Montgomery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Montgomery is 1558574178. The last update date is 2007-07-08.
Jill Montgomery's current location address is 610 Radam Ln, Austin, Texas. You can contact this provider via phone number 5124448504 and fax number 5124401681. The mailing address for Jill Montgomery is 610 Radam Ln, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Montgomery |
|---|---|
| Address | 610 Radam Ln, Austin, Texas |
| Phone Number | 5124448504 |
| Fax Number | 5124401681 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1558574178 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 610 Radam Ln |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787451172 |
| Phone Number | 5124448504 |
| Fax Number | 5124401681 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7267 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86441Q | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jill Montgomery by the Centers for Medicare & Medicaid Services?
The Jill Montgomery has been issued the NPI (National Provider Identifier) 1558574178 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jill Montgomery is geographically located?
The Jill Montgomery is physically situated at the following location: 610 Radam Ln, Austin, TX, 787451172.
What is Jill Montgomery's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jill Montgomery is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Jill Montgomery receive the assignment of its 1558574178 from the Centers for Medicare & Medicaid Services?
The Jill Montgomery was issued its 1558574178 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date was the information pertaining to Jill Montgomery, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jill Montgomery, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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