JOEL MONTGOMERY THERAPIST PA (NPI# 1013415231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013415231 |
| Entity Type | Organization |
| Organization Name | JOEL MONTGOMERY THERAPIST PA |
| Practice Address |
2312 Wilton Dr Wilton Manors FL 33305-1249 |
| Mailing Address |
72 Ne 25th St Wilton Manors FL 33305-1026 |
| Practice Telephone | 9546302336 |
| Mailing Telephone | 9546302336 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | JOEL MONTGOMERY (PRESIDENT) |
| Authorized Official Telephone | 9546302336 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW14839 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2312 WILTON DR |
| City | WILTON MANORS |
| State | FL |
| Zip Code | 33305-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003916602 | Fred F Boykin | Social Worker | 2312 Wilton Dr, Ste 29, Wilton Manors, FL 33305-1249 | 2006-09-23 |
| 1922571074 | Alice Lisa Shapiro | Counselor | 2312 Wilton Dr, Wilton Manors, FL 33305-1249 | 2019-01-10 |
| 1447762315 | Joel Montgomery | Social Worker | 2312 Wilton Dr, Wilton Manors, FL 33305-1249 | 2017-10-31 |
| 1871002550 | Andre Caruso | Psychologist | 2312 Wilton Dr, Wilton Manors, FL 33305-1249 | 2017-09-25 |
| 1356868483 | John Davenport Swan Jr. | Counselor | 2312 Wilton Dr, Wilton Manors, FL 33305-1249 | 2017-08-29 |
| 1033645973 | Sosa-miracolo Counseling Services, L.L.C. | Clinic/Center | 2312 Wilton Dr, Suite 27b, Wilton Manors, FL 33305-1249 | 2017-05-11 |
| 1760928402 | Mary Walker & Associates, LLC | Counselor | 2312 Wilton Dr, Suite 28, Wilton Manors, FL 33305-1249 | 2017-01-18 |
| 1073989273 | Dynamic Outpatient Therapeutic Services, LLC | Counselor | 2312 Wilton Dr, Wilton Manors, FL 33305-1249 | 2015-08-11 |
| 1356771968 | Sunshine Social Service, Inc | Community/Behavioral Health | 2312 Wilton Dr, 200, Wilton Manors, FL 33305-1249 | 2013-11-18 |
| 1588091698 | Deepa Sonpar | Counselor | 2312 Wilton Dr, Wilton Drive, Wilton Manors, FL 33305-1249 | 2013-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244331 | Michael Moses Gans | Social Worker | 520 Ne 20th Street, #603, Wilton Manors, FL 33305 | 2020-01-14 |
| 1922650159 | Samantha Jones | Chiropractor | 1732 Ne 26th St Ste 201, Wilton Manors, FL 33305 | 2019-07-09 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1548775000 | Inbox Inc. | Counselor | 1650 Ne 26th St., Suite 206, Wilton Manors, FL 33305 | 2017-12-06 |
| 1306394168 | The 5 Elements Spa & Longevity Center | Health Maintenance Organization | 2288 Wilton Drive, Wilton Manors, FL 33305 | 2016-09-21 |
| 1467900449 | Crystal L Cacolici | Acupuncturist | 1732 Ne 26th St Ste 202, Wilton Manors, FL 33305 | 2016-09-19 |
| 1649634809 | Terri-ann Brown Arnp | Nurse Practitioner | 1881 Ne 26th Street, Suite 102, Fort Lauderdale, FL 33305 | 2016-04-13 |
| 1194130203 | Rhea Butchey | Optometrist | 2131 N Federal Hwy, Fort Lauderdale, FL 33305 | 2014-06-26 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1427300789 | Kids In Distress | Foster Care Agency | 819 Ne 26th St., Ft. Laud, FL 33305 | 2012-10-11 |
| Find all providers in zip 33305 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982235362 | Jeffrey Shearer Pa | Social Worker | 1881 Ne 26th St Ste 239, Wilton Manors, FL 33305-1426 | 2020-02-04 |
| 1982244331 | Michael Moses Gans | Social Worker | 520 Ne 20th Street, #603, Wilton Manors, FL 33305 | 2020-01-14 |
| 1447795133 | Angelina Baldwin | Social Worker | 801 W Oakland Park Blvd, Apt C8, Wilton Manors, FL 33311-1793 | 2017-01-04 |
| 1871855528 | Michael Medlin | Social Worker | 2720 Ne 8th Ave Apt 5, Wilton Manors, FL 33334-2528 | 2012-06-08 |
| 1881995421 | Ian Cleaent Griffin | Social Worker | 2725 Ne 8th Ave, Unit 108, Wilton Manors, FL 33334 | 2010-11-13 |
| 1114187937 | Florida Institute for Recovery and Sex Therapy | Social Worker | 2424 Wilton Dr, Wilton Manors, FL 33305-1251 | 2008-06-16 |
| 1861612236 | Valerie J Elsbree | Social Worker | 1650 Ne 26th St, Suite 206, Wilton Manors, FL 33305-1431 | 2007-04-26 |
| 1467501262 | Paul L Hyman | Social Worker | 1881 Ne 26th St Ste 221, Wilton Manors, FL 33305 | 2007-01-09 |
| 1003916602 | Fred F Boykin | Social Worker | 2312 Wilton Dr, Ste 29, Wilton Manors, FL 33305-1249 | 2006-09-23 |
| 1245838432 | Sarah Bartley, Lcsw, LLC | Social Worker | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2020-10-11 |
| Find all providers in WILTON MANORS | ||||
| City | WILTON MANORS |
| Zip Code | 33305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.