| Kc Montoya, | |
|
400 E State St, Athens, OH 45701-1856 | |
| (740) 326-6110 | |
| Not Available |
| Full Name | Kc Montoya |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 400 E State St, Athens, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194232652 | NPI | - | NPPES |
| 0261436 | Medicaid | OH | |
| 3148165 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2102616-SUPV (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anew Behavioral Health Llc | 2567855349 | 5 |
| Entity Name | Global Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215400924 PECOS PAC ID: 9931436540 Enrollment ID: O20190805003399 |
| Entity Name | Anew Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215554779 PECOS PAC ID: 2567855349 Enrollment ID: O20220201000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Montoya, 815 N Gay St, Mount Vernon, OH 43050-1751 Ph: (740) 504-6846 | Kc Montoya, 400 E State St, Athens, OH 45701-1856 Ph: (740) 326-6110 |
Ms. Monica Marie Silverthorn, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 W Union St, Athens Va, Athens, OH 45701 Phone: 740-773-1141 | |
Leah E Blake, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-592-3091 Fax: 740-773-3985 | |
Martha Ann Greer, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 Graham Dr, Athens, OH 45701 Phone: 740-594-6807 | |
Martin F Hammar, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Mrs. Lisa Louise Laughton, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 W Union St, Athens, OH 45701 Phone: 740-773-1141 Fax: 740-772-7025 | |
Erin Taggart, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-592-3091 Fax: 740-773-3985 | |
Sarah Fenstermaker, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-592-3091 |