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NPI Code Detail

MEDICARE: MELODY ANNA BANKERT MONTRIE MSW, LCSW, LCSW-C

MEDICARE: MELODY ANNA BANKERT MONTRIE MSW, LCSW, LCSW-C
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 WorkerCSW.09925890CO
21041C0700XClinical Social Worker13946MD

General Provider Information

NPI Number : 1003467507
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY ANNA BANKERT MONTRIE MSW, LCSW, LCSW-C
Provider Business Mailing Address
First Line : 4 W MAIN ST
Second Line :
City : NEW MARKET
State : MD
Zip : 21774-6290
Country : US
Telephone Number : 301-381-4586
Fax Number :
Provider Business Practice Location Address
First Line : 4 W MAIN ST
Second Line :
City : NEW MARKET
State : MD
Zip : 21774-6290
Country : US
Telephone Number : 301-381-4586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 07/10/2025

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