MRS. MIRACLE DONIQUE MONTGOMERY LCSW
NPI 1659527927
Social Worker - Clinical in Chicago, IL

Q: What is Miracle Montgomery's NPI number?

The NPI number for Miracle Montgomery is 1659527927. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Q: What is Miracle Montgomery's specialty?

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

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

676 N SAINT CLAIR ST STE 1000, CHICAGO, IL 60611(312) 695-5060(312) 695-5507 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Miracle Donique Montgomery Lcsw NPPES

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

MRS. MIRACLE DONIQUE MONTGOMERY LCSW (NPI 1659527927) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149017092) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2011).

NPPES Registry Identity

NPI1659527927

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. MIRACLE DONIQUE MONTGOMERYCredential: LCSW

Location Address676 N SAINT CLAIR ST STE 1000Chicago, IL 60611-2976

Mailing Address676 N Saint Clair St Ste 1000Chicago, IL 60611-2976 · (312) 695-5060 · Fax (312) 695-5507

Phone(312) 695-5060

Fax(312) 695-5507

Sole ProprietorYes

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2011

Enumeration DateAugust 18, 2008

Last NPPES UpdateSeptember 19, 2023

NPPES CertifiedSeptember 19, 2023

✔ NPI 1659527927 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 IL · 149017092

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 ListedCounselorTaxonomy 101Y00000X

676 N SAINT CLAIR ST STE 1000, Chicago, IL 60611

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Miracle Donique Montgomery Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466706601

PECOS Enrollment IDI20181107000661

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

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

Miracleworks Therapy & Consulting PLLC

2.3 mi

Clinical

51 E 14TH ST
Chicago, IL 60605

Reassigned Medicare billing, Illinois enrollment

NPI 1215536693 (872) 228-5573

Northwestern Medical Faculty Foundation

35 mi

Multi-Specialty

DEPT 5777
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
4,817 clinicians in this Medicare group

NPI 1346235314 (855) 694-2866

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 60611 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 $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

LEISZLE RAE LAPPING-CARR PHD

Psychologist