MS. MONTA ANNETTE BREEDEN LCSW LMT
NPI 1508192287
Social Worker in Fort Campbell, KY

Q: What is Monta Breeden's NPI number?

The NPI number for Monta Breeden is 1508192287. It was assigned to this individual provider in the NPPES registry on October 30, 2009.

Q: What is Monta Breeden's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Monta Breeden was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since October 30, 2009PECOS Enrolled

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400(270) 798-8224 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Nov 19, 2018 (2 updates tracked since 2018).

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About Ms. Monta Annette Breeden Lcsw Lmt NPPES

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

MS. MONTA ANNETTE BREEDEN LCSW LMT (NPI 1508192287) is an individual social worker in Fort Campbell, Kentucky, licensed in Missouri (005085) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508192287

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. MONTA ANNETTE BREEDENCredential: LCSW LMT

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address7024 Rhodes AvenueSt. Louis, MO 63123 · (615) 239-9562 · Fax (270) 798-8224

Phone(270) 798-8400

Fax(270) 798-8224

Sole ProprietorNo

Enumeration DateOctober 30, 2009

Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration

✔ NPI 1508192287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in MO · 005085✔ Licensed in KY · KY-3190

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License KY-3190 (KY)

Also ListedMassage TherapistTaxonomy 225700000X · License 2022049235 (MO)

650 JOEL DR, Fort Campbell, KY 42223

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Monta Annette Breeden Lcsw Lmt 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.

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.

LISA RENEE CORDELL RN

Registered Nurse