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CLARENCE MONTGOMERY III
NPI 1659751162
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Active since June 01, 2015
1111 S 6TH ST, 1111 S.6TH ST., MILWAUKEE, WI 53204(414) 649-0189(414) 647-8602 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Clarence Montgomery Iii NPPES

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

CLARENCE MONTGOMERY III (NPI 1659751162) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (17466-130) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1659751162
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCLARENCE MONTGOMERY III
Location Address1111 S 6TH ST, 1111 S.6TH ST.Milwaukee, WI 53204-2301
Mailing Address1111 S 6th St, 1111 S.6th St.Milwaukee, WI 53204-2301 · (414) 649-0189 · Fax (414) 647-8602
Phone(414) 649-0189
Fax(414) 647-8602
Sole ProprietorNo
Enumeration DateJune 1, 2015
✔ NPI 1659751162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 17466-130
1111 S 6TH ST, Milwaukee, WI 53204
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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.

KENNETH SANTANA SAC-IT
Substance Abuse Rehabilitation Facility
1111 S 6TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 649-1929
JAMIE LYAN TEISSONNIERE RAMIREZ APSW, SAC-IT
Counselor (Addiction (Substance Use Disorder))
1111 S 6TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 643-8530
RUSLANA ENNIS SAC-IT
Counselor (Addiction (Substance Use Disorder))
1111 S 6TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 643-8530
UNITED COMMUNITY CENTER
Community/Behavioral Health
1111 S 6TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 643-8530
ROSA TATIANA GARCIA HENRIQUEZ APSW., SAC-IT
Counselor (Addiction (Substance Use Disorder))
1111 S 6TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 643-8530
CHRISTIAN CALDERON SAC IT
Counselor (Addiction (Substance Use Disorder))
1111 S 6TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 643-8530
UNITED COMMUNITY CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1111 S 6TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 643-8530
MS. ROSA MARIA ARCAUTE SAC
Counselor (Addiction (Substance Use Disorder))
1111 S 6TH ST, HUMAN SERVICES DEPARTMENT
MILWAUKEE, WI 53204
Milwaukee County (414) 643-8530

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 Clarence Montgomery's NPI number?

The NPI number for Clarence Montgomery is 1659751162. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Clarence Montgomery located?

Clarence Montgomery practices at 1111 S 6th St 1111 S.6th St., Milwaukee, WI 53204. The listed phone number is (414) 649-0189.

What is Clarence Montgomery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clarence Montgomery was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.