MEDICARE: MRS. TCHERNAVIA RANESFORE MONTGOMERY MSW, 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
1	1041C0700X	Clinical Social Worker	C007562	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487887113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TCHERNAVIA RANESFORE MONTGOMERY MSW, LCSW

Provider Business Mailing Address
First Line	:	3324 CRUTCHFIELD PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-4823
Country	:	US
Telephone Number	:	704-492-9399
Fax Number	:

Provider Business Practice Location Address
First Line	:	3324 CRUTCHFIELD PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-4823
Country	:	US
Telephone Number	:	704-492-9399
Fax Number	:

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

Provider Enumeration Date	:	08/28/2009
Last Update Date	:	06/01/2012

Similar Medicare Providers

1700176559 — ALISHA RIASATI MSW, LCSWA
Practice Location Address:

3705 LATROBE DR STE 340
CHARLOTTE, NC
28211-4823

Practice Phone: 704-364-3989
Practice Fax:

1043553530 — ELLEN KINSER LCMHC
Practice Location Address:

3705 LATROBE DR STE 340
CHARLOTTE, NC
28211-4823

Practice Phone: 704-364-3989
Practice Fax:

1982046330 — SHISAN WANG ACUPUNCTURIST
Practice Location Address:

3705 LATROBE DR STE 320
CHARLOTTE, NC
28211-4823

Practice Phone: 704-366-6818
Practice Fax: 704-366-6818

1114343399 — DR. MARY JO MCDOWELL PHARMD
Practice Location Address:

8322 PINEVILLE MATTHEWS RD STE 601
CHARLOTTE, NC
28226-4823

Practice Phone: 704-496-5227
Practice Fax: 704-496-5226

1609266592 — MISS BIANCA K HARVEY MS, LPC-A
Practice Location Address:

3705 LATROBE DR STE 340
CHARLOTTE, NC
28211-4823

Practice Phone: 704-364-3989
Practice Fax:

1063899334 — ERIK GOLDFIELD
Practice Location Address:

3705 LATROBE DR STE 340
CHARLOTTE, NC
28211-4823

Practice Phone: 704-364-3989
Practice Fax:

Directions to “ MRS. TCHERNAVIA RANESFORE MONTGOMERY MSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.