WALLACE MONTGOMERY
NPI 1053655670
Case Manager/Care Coordinator in Pine Bluff, AR

Active since November 20, 2012
620 S LAUREL ST, PINE BLUFF, AR 71601(870) 534-4900(870) 534-4906 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wallace Montgomery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE MONTGOMERY (NPI 1053655670) is an individual case manager/care coordinator provider in Pine Bluff, Arkansas and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1053655670
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameWALLACE MONTGOMERY
Location Address620 S LAUREL STPine Bluff, AR 71601-4859
Mailing Address620 S Laurel StPine Bluff, AR 71601-4859 · (870) 534-4900 · Fax (870) 534-4906
Fax(870) 534-4906
Sole ProprietorNo
Enumeration DateNovember 20, 2012
NPI 1053655670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

620 S LAUREL ST, Pine Bluff, AR 71601

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Counselor (Mental Health)
620 S LAUREL ST
PINE BLUFF, AR 71601
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Counselor (Mental Health)
620 S LAUREL ST
PINE BLUFF, AR 71601
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Montgomery's NPI number?

The NPI number for Wallace Montgomery is 1053655670. It was assigned to this individual provider in the NPPES registry on November 20, 2012.

Where is Wallace Montgomery located?

Wallace Montgomery practices at 620 S Laurel St, Pine Bluff, AR 71601. The listed phone number is (870) 534-4900.

What is Wallace Montgomery's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Wallace Montgomery was last updated on November 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.