MEDICARE: MR. BRADY MONTAS LICSW

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	LC50079412	DC

General Provider Information

NPI Number	:	1972790962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRADY MONTAS LICSW

Provider Business Mailing Address
First Line	:	6900 PECOS RD
Second Line	:	(PROGRAM 122-CRRC)
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-4400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5806 GROVE AVE # 129
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2630
Country	:	US
Telephone Number	:	347-738-1083
Fax Number	:

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

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	04/18/2023

Similar Medicare Providers

1457396400 — MS. MARIA W HALTOM LCSW
Practice Location Address:

2630 HUSSEY LN
RICHMOND, VA
23223-1107

Practice Phone: 804-852-5630
Practice Fax:

1073769816 — SCOTT PADRAIC DIECKMANN O.T.
Practice Location Address:

349 TIMOTHY WAY
RICHMOND, KY
40475-2630

Practice Phone: 859-623-4455
Practice Fax:

1306140124 — MR. MARK BROOKS NURSING ASSISTANT
Practice Location Address:

4438 DONNA DR
RICHMOND HEIGHTS, OH
44143-2630

Practice Phone: 216-440-2352
Practice Fax:

1568107233 — HAIR KILLA LLC
Practice Location Address:

5452 W BROAD ST
RICHMOND, VA
23230-2630

Practice Phone: 804-277-5255
Practice Fax: 804-463-2958

1376119834 — BARRY DANIEL LONG
Practice Location Address:

1501 MAPLE AVE STE 205
RICHMOND, VA
23226-2553

Practice Phone: 804-525-4231
Practice Fax:

1992358477 — LEAH A PARKS SLP
Practice Location Address:

5421 PATTERSON AVE
RICHMOND, VA
23226-2003

Practice Phone: 804-288-0642
Practice Fax:

Directions to “ MR. BRADY MONTAS LICSW” 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.