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NPI Code Detail

MEDICARE: ELISHA A. MONTGOMERY LCSW

MEDICARE:   ELISHA A. MONTGOMERY  LCSW
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
11041C0700XClinical Social WorkerLCSW-23225AZ
2104100000XSocial WorkerLMSW-20917AZ

General Provider Information

NPI Number : 1437841103
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISHA A. MONTGOMERY LCSW
Provider Business Mailing Address
First Line : 3101 N CENTRAL AVE STE 550
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2635
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-682-7455
Provider Business Practice Location Address
First Line : 506 E WESTERN AVE STE 104
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-2422
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-230-3086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2023
Last Update Date : 12/02/2025

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Directions to “ ELISHA A. MONTGOMERY LCSW” Practice Location

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