Mayra Dalia Montano, LCSW is a medicare enrolled "Social Worker" provider in Fairfield, California. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
275 Beck Ave, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at
(707) 784-8123.
Mayra Dalia Montano is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1710294087.
Healthcare Provider's Profile
| Full Name | Mayra Dalia Montano |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 275 Beck Ave, Fairfield, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mayra Dalia Montano graduated from medical school in 2012
NPI Data:
- NPI Number: 1710294087
- Provider Enumeration Date: 09/08/2010
- Last Update Date: 05/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204337405
- Enrollment ID: I20250828005343
Medical Identifiers
Medical identifiers for Mayra Dalia Montano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710294087 | NPI | - | NPPES |
| 82012 | Other | CA | BOARD OF BEHAVIORAL SCIENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 82012 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mayra Dalia Montano is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mayra Dalia Montano, LCSW
275 Beck Ave,
Fairfield, CA 94533-6804
Ph: (707) 784-8123 | Mayra Dalia Montano, LCSW
275 Beck Ave,
Fairfield, CA 94533-6804
Ph: (707) 784-8123 |
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