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MRS. JERRY A MONTGOMERY MSW ACSW LCSW
NPI 1750456356
Social Worker - Clinical in La Porte, IN

Active since November 21, 2006
304 DETROIT ST, SUITE A, LA PORTE, IN 46350(219) 617-0526 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jerry A Montgomery Msw Acsw Lcsw NPPES

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

MRS. JERRY A MONTGOMERY MSW ACSW LCSW (NPI 1750456356) is an individual clinical provider in La Porte, Indiana, licensed in Indiana (34002011A) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1750456356
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JERRY A MONTGOMERYCredential: MSW ACSW LCSW
Location Address304 DETROIT ST, SUITE ALa Porte, IN 46350-2473
Mailing Address226 Barker RdMichigan City, IN 46360 · (219) 617-0526
Phone(219) 617-0526
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateMarch 18, 2008
✔ NPI 1750456356 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 IN · 34002011A
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.
304 DETROIT ST, La Porte, IN 46350
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Other Identifiers 1

Medicare ID-Type Unspecified04355640072IN

Other Providers at the Same Location NPPES 4

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

NEIL WANGSTROM MD PC
Otolaryngology
304 DETROIT ST
LA PORTE, IN 46350
Laporte County (219) 325-3770
MACKENZIE JACQUELYN ACCORSI PA-C
Physician Assistant
304 DETROIT ST
LA PORTE, IN 46350
Laporte County (219) 325-3770
DR. NEIL WILLIAM WANGSTROM M.D.
Otolaryngology
304 DETROIT ST
LA PORTE, IN 46350
Laporte County (219) 325-3770
MRS. JESSICA L NICHOLS MS, CCC-A
Audiologist
304 DETROIT ST
LA PORTE, IN 46350
Laporte County (219) 325-3770

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 Jerry Montgomery's NPI number?

The NPI number for Jerry Montgomery is 1750456356. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Jerry Montgomery located?

Jerry Montgomery practices at 304 Detroit St Suite A, La Porte, IN 46350. The listed phone number is (219) 617-0526.

What is Jerry Montgomery's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Montgomery was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.