Montgomery, Jennifer Mary

Montgomery, Jennifer Mary is an individual health care provider with primary practice located at 6815 W Cactus Rd , Peoria AZ 85381-5313. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Montgomery, Jennifer Mary can be contacted via phone (623) 937-5090.

Contact Information

Primary practice address
6815 W Cactus Rd Peoria AZ 85381-5313
Phone: (623) 937-5090
Fax: (623) 937-5349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-11795 Arizona

Profile Details

NPI number 1245431857
LBN Legal business name Montgomery, Jennifer Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245431857 NPPES
Arizona MEDICAID LCSW-11795

Popular Providers