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MICHAEL MONTECILLO LCSW
NPI 1174779425
Social Worker - Clinical in Gardena, CA

Active since August 18, 2008PECOS Enrolled
1045 W REDONDO BEACH BLVD, GARDENA, CA 90247(233) 241-6730 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, Jul 6, 2021, Jul 1, 2021 and 1 more (4 updates tracked since 2016).

About Michael Montecillo Lcsw NPPES

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

MICHAEL MONTECILLO LCSW (NPI 1174779425) is an individual clinical provider in Gardena, California, licensed in California (29082) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174779425
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL MONTECILLOCredential: LCSW
Location Address1045 W REDONDO BEACH BLVDGardena, CA 90247-4128
Mailing Address2311 W El Segundo BlvdHawthorne, CA 90250-3315 · (323) 241-6825
Phone(233) 241-6730
Sole ProprietorNo
Enumeration DateAugust 18, 2008
Last NPPES UpdateJuly 12, 20234 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1174779425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 29082
Definition
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.
1045 W REDONDO BEACH BLVD, Gardena, CA 90247
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Montecillo Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Montecillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Los Angeles County Department Of Mental Health
Same address
Mental Health (Including Community Mental Health Center)
1045 W REDONDO BEACH BLVD FL 3
Gardena, CA 90247
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1760698112 (310) 970-5000
Harbor Community Clinic Inc
11 mi
Pediatrics
425 S PACIFIC AVE
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1831739614 (310) 547-0202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRYAN V HOANG DPT
Physical Therapist
1045 W REDONDO BEACH BLVD
GARDENA, CA 90247
Los Angeles County (310) 329-1444
SOON R CHUNG
Pharmacy (Community/Retail Pharmacy)
1045 W REDONDO BEACH BLVD, SUITE 300
GARDENA, CA 90247
Los Angeles County (310) 515-6570
KIMBERLY JILL EDDINGS-REECE MD
Internal Medicine
1045 W REDONDO BEACH BLVD, SUITE 240
GARDENA, CA 90247
Los Angeles County (310) 225-2825
DONNISE FENNELL
Community Health Worker
1045 W REDONDO BEACH BLVD
GARDENA, CA 90247
Los Angeles County (310) 689-9699
KELLY YU DPM
Podiatrist (Foot & Ankle Surgery)
1045 W REDONDO BEACH BLVD, SUITE 106
GARDENA, CA 90247
Los Angeles County (310) 323-2887
QUIONE-RAY RODRIGUEZ
Registered Nurse (Psychiatric/Mental Health)
1045 W REDONDO BEACH BLVD
GARDENA, CA 90247
Los Angeles County (310) 940-1104
TIFFANY HEATHER MANUMA
Specialist/Technologist (Speech-Language Assistant)
1045 W REDONDO BEACH BLVD
GARDENA, CA 90247
Los Angeles County (310) 553-2695
GLORIA TU
Occupational Therapy Assistant
1045 W REDONDO BEACH BLVD
GARDENA, CA 90247
Los Angeles County (310) 553-2695

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 Michael Montecillo's NPI number?

The NPI number for Michael Montecillo is 1174779425. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Michael Montecillo located?

Michael Montecillo practices at 1045 W Redondo Beach Blvd, Gardena, CA 90247. The listed phone number is (233) 241-6730.

What is Michael Montecillo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Montecillo enrolled in Medicare?

Yes. Michael Montecillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Montecillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Montecillo reassigns Medicare benefits to 2 organizations: Los Angeles County Department Of Mental Health (Gardena, CA) and Harbor Community Clinic Inc (San Pedro, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Montecillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Montecillo was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.