MEDICARE: CATARINA MONTENEGRO LMSW

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	LCSW230482	MA
2	1041C0700X	Clinical Social Worker	117280	NY

General Provider Information

NPI Number	:	1932923638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATARINA MONTENEGRO LMSW

Provider Business Mailing Address
First Line	:	280 PARK AVE S APT 19D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-6133
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 PARK AVE S APT 19D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-6133
Country	:	US
Telephone Number	:	908-616-9235
Fax Number	:

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

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	11/11/2024

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Directions to “ CATARINA MONTENEGRO LMSW” Practice Location

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