| Joanne L Montgomery, Llc | |
|
57 Plains Rd Ste 1e Milford CT 06461-2573 | |
| (203) 913-6439 | |
| Not Available |
| Full Name | Joanne L Montgomery, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 57 Plains Rd Ste 1e, Milford, Connecticut |
| Authorized Official Name and Position | Joanne L Montgomery (LCSW) |
| Authorized Official Contact | 2039136439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne L Montgomery, Llc 11 Valley Brook Rd West Haven CT 06516-2946 Ph: (203) 913-6439 | Joanne L Montgomery, Llc 57 Plains Rd Ste 1e Milford CT 06461-2573 Ph: (203) 913-6439 |
| NPI Number | 1215426903 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 04/18/2020 |
| Certification Date | 04/18/2020 |
| Medicare PECOS PAC ID | 0749602274 |
|---|---|
| Medicare Enrollment ID | O20200629003452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215426903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joanne Lillian Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679096093 PECOS PAC ID: 1658793187 Enrollment ID: I20200629003581 |
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