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General NPI Number Information
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NPI Number | 1588183214
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Entity Type | Organization
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Legal Business Name | MONICA L. MONTGOMERY, LCSW, LLC
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 14241 E 4TH AVE STE 140
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City | AURORA
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State | CO
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Zip | 80011-8758
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Country | US
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Telephone | 970-218-9341
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Fax | 970-788-7418
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Provider Business Mailing Address
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Address Line | 14241 E 4TH AVE # 5-140
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City | AURORA
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State | CO
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Zip | 80011-8733
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Country | US
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Telephone | 970-218-9341
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Fax | 970-788-7418
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Authorized Official
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Title or Position | OWNER
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Name | MONICA L MONTGOMERY
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Credential | LCSW
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Telephone | 970-218-9341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09924178
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License Number State | CO
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