MS. MIMOSE MONTGOMERY LCSW
NPI 1922513860
Social Worker - Clinical in Oakland Park, FL

Active since December 13, 2017PECOS Enrolled
3160 POWERLINE RD, OAKLAND PARK, FL 33309(305) 576-1234 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, Jul 24, 2024, Jul 8, 2023 and 3 more (6 updates tracked since 2017).

About Ms. Mimose Montgomery Lcsw NPPES

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

MS. MIMOSE MONTGOMERY LCSW (NPI 1922513860) is an individual clinical provider in Oakland Park, Florida, licensed in Florida (SW21589) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922513860
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MIMOSE MONTGOMERYCredential: LCSW
Location Address3160 POWERLINE RDOakland Park, FL 33309-5911
Mailing Address8910 Miramar Pkwy Ste 305bMiramar, FL 33025-4100 · (305) 713-3261
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 13, 2017
Last NPPES UpdateAugust 19, 20246 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1922513860 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 FL · SW21589
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SW21589 (FL)
3160 POWERLINE RD, Oakland Park, FL 33309

Accepted Insurance

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

PECOS PAC ID7911353057
PECOS Enrollment IDI20260211001400
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33309 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 $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 4

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

Counselor (Mental Health)
3160 POWERLINE RD
OAKLAND PARK, FL 33309
Counselor (Mental Health)
3160 POWERLINE RD
OAKLAND PARK, FL 33309
Social Worker (Clinical)
3160 POWERLINE RD
OAKLAND PARK, FL 33309
Community/Behavioral Health
3160 POWERLINE RD
OAKLAND PARK, FL 33309

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 Mimose Montgomery's NPI number?

The NPI number for Mimose Montgomery is 1922513860. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Where is Mimose Montgomery located?

Mimose Montgomery practices at 3160 Powerline Rd, Oakland Park, FL 33309. The listed phone number is (305) 576-1234.

What is Mimose Montgomery's specialty?

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

Is Mimose Montgomery enrolled in Medicare?

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

What insurance does Mimose Montgomery accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Mimose 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 Mimose Montgomery was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.