Mary Montgomery is a Clinical in Richmond, Virginia. Mary Montgomery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Montgomery is 1508980087. The last update date is 2007-07-08.
Mary Montgomery's current location address is 3900 W Broad St, Richmond, Virginia. You can contact this provider via phone number 8042549679 and fax number 8043533061. The mailing address for Mary Montgomery is 3900 W Broad St, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Montgomery |
|---|---|
| Address | 3900 W Broad St, Richmond, Virginia |
| Phone Number | 8042549679 |
| Fax Number | 8043533061 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1508980087 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3900 W Broad St |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232303958 |
| Phone Number | 8042549679 |
| Fax Number | 8043533061 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904006313 |
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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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What is the unique 10-digit identifier code issued to Mary Montgomery by the Centers for Medicare & Medicaid Services?
The Mary Montgomery has been assigned the NPI (National Provider Identifier) 1508980087 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary Montgomery is located?
The Mary Montgomery is situated at the following address: 3900 W Broad St, Richmond, VA, 232303958.
What is Mary Montgomery's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Montgomery is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Mary Montgomery receive the assignment of its 1508980087 from the Centers for Medicare & Medicaid Services?
The Mary Montgomery was issued its 1508980087 by the Centers for Medicare & Medicaid Services on 2007-03-19.
When was the Mary Montgomery's information last updated?
The Mary Montgomery's information was last updated on 2007-07-08.
NPI Number: 1245233907
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