MEDICARE: WILLIAM MONTGOMERY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	10793	TN

General Provider Information

NPI Number	:	1356275317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM MONTGOMERY

Provider Business Mailing Address
First Line	:	102 SUMNER CT
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-4319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 SPRINGHOUSE CT STE 200
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-1610
Country	:	US
Telephone Number	:	615-912-8080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ WILLIAM MONTGOMERY ” Practice Location

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