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ELISHA A. MONTGOMERY LCSW
NPI 1437841103
Social Worker - Clinical in Avondale, AZ

Active since May 22, 2023PECOS Enrolled
506 E WESTERN AVE STE 104, AVONDALE, AZ 85323(602) 230-7373(602) 230-3086 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2025, May 22, 2023 (2 updates tracked since 2023).

About Elisha A. Montgomery Lcsw NPPES

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

ELISHA A. MONTGOMERY LCSW (NPI 1437841103) is an individual clinical provider in Avondale, Arizona, licensed in Arizona (LCSW-23225) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437841103
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISHA A. MONTGOMERYCredential: LCSW
Location Address506 E WESTERN AVE STE 104Avondale, AZ 85323-2422
Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455
Phone(602) 230-7373
Fax(602) 230-3086
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 22, 2023
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1437841103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AZ · LCSW-23225
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.
Also ListedSocial WorkerTaxonomy 104100000X · License LMSW-20917 (AZ)
506 E WESTERN AVE STE 104, Avondale, AZ 85323
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisha A. Montgomery Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204320435
PECOS Enrollment IDI20251215001818
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 Reassignment

Medicare enrollment records show Elisha Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denova Collaborative Health, LLC
Same address
Multi-Specialty
506 E WESTERN AVE STE 104
Avondale, AZ 85323
  • Reassigned Medicare billing, Arizona enrollment
  • 282 clinicians in this Medicare group
NPI 1689153769 (602) 230-7373

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 85323 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 20

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

STEPHANIE CHIEL LPC
Counselor (Professional)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
KATHERINE RASMUSSEN LCSW
Social Worker (Clinical)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
DR. KRISTA DEANN PELLICORE M.D.
Family Medicine
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
LARISSA WRIGHT LCSW
Social Worker (Clinical)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
DR. MICHELLE ILIESCU DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
HAYDAR HASAN PA-C
Physician Assistant
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
SOPHIA ESPINOZA SAAVEDRA LPC
Counselor (Professional)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
ZACONA MICHAUX LAC
Counselor (Mental Health)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373

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 Elisha Montgomery's NPI number?

The NPI number for Elisha Montgomery is 1437841103. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Elisha Montgomery located?

Elisha Montgomery practices at 506 E Western Ave Ste 104, Avondale, AZ 85323. The listed phone number is (602) 230-7373.

What is Elisha Montgomery's specialty?

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

Is Elisha Montgomery enrolled in Medicare?

Yes. Elisha Montgomery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elisha Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisha Montgomery reassigns Medicare benefits to Denova Collaborative Health, LLC (Avondale, AZ). The 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 Elisha Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elisha Montgomery accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Elisha Montgomery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elisha Montgomery was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.