Michael Andrew Montgomery, LCSW
Social Worker, Clinical in Wellsville, UT. Individual provider (NPI-1).
NPI number1003005166
StatusActive
Last updated in NPPESApr 27, 2022
Details
- NPI
- 1003005166
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Andrew Montgomery
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2007
- Certification date
- Apr 27, 2022
- Last updated
- Apr 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 7334775-3501 | UT | Yes |
Practice location
7877 S Highway 89 # 91Wellsville, UT 84339-9416
Phone 385-388-7930
Mailing address
7877 S Highway 89 # 91Wellsville, UT 84339-9416
Phone 385-388-7930
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Other Clinical Social Worker providers in Wellsville, UT
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All 6 Clinical Social Worker providers in Wellsville · All 24 providers in Wellsville
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