MRS. JENNIFER MARY MONTGOMERY LCSW
NPI 1245431857
Social Worker - Clinical in Peoria, AZ

Q: What is Jennifer Montgomery's NPI number?

The NPI number for Jennifer Montgomery is 1245431857. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Jennifer Montgomery's specialty?

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

Q: Is Jennifer Montgomery enrolled in Medicare?

No. Jennifer Montgomery has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 30, 2007Opted out of Medicare · through Jan 1, 2027

6815 W CACTUS RD, PEORIA, AZ 85381(623) 937-5090(623) 937-5349 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Jennifer Mary Montgomery Lcsw NPPES

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

MRS. JENNIFER MARY MONTGOMERY LCSW (NPI 1245431857) is an individual clinical provider in Peoria, Arizona, licensed in Arizona (LCSW-11795) and active in the NPI registry since May 2007. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1245431857

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. JENNIFER MARY MONTGOMERYCredential: LCSW

Location Address6815 W CACTUS RDPeoria, AZ 85381-5313

Mailing Address6815 W. Cactus Rd.Peoria, AZ 85381 · (623) 937-5090 · Fax (623) 937-5349

Phone(623) 937-5090

Fax(623) 937-5349

Sole ProprietorNo

Enumeration DateMay 30, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1245431857 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 AZ · LCSW-11795

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.

6815 W CACTUS RD, Peoria, AZ 85381

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Other Identifiers 1

MedicaidLCSW-11795AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jennifer Mary Montgomery Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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 $55.44 – $168.60

Typical copayment $0.00 (range $13.86 – $42.15)

Most-billed visit code NA

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 15

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

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