MEDICARE: MRS. PATRICIA LYNN MONTANO 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	C-06679	NM

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	:	1881878130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA LYNN MONTANO LCSW

Provider Business Mailing Address
First Line	:	1660 OLD PECOS TRL
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4779
Country	:	US
Telephone Number	:	505-548-9023
Fax Number	:	505-531-8020

Provider Business Practice Location Address
First Line	:	1660 OLD PECOS TRL STE A
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4779
Country	:	US
Telephone Number	:	505-548-9023
Fax Number	:	505-531-8020

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

Provider Enumeration Date	:	12/21/2007
Last Update Date	:	03/31/2026

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