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

Active since December 13, 2017PECOS EnrolledAccepts Medicare Assignment
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: November 01, 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, maintains a secondary practice location in Miramar, 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

Secondary Practice Location 1

Location 18910 Miramar Pkwy Ste 305B3160Miramar, FL 33025-4100 · Phone (305) 713-3261

Accepted 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

Ms. Mimose 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 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.

Medicare Billing Reassignments

2

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

Community/Behavioral Health
3160 POWERLINE RD
Oakland Park, FL 33309
  • Reassigned Medicare billing, Florida enrollment
  • 49 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida and Texas enrollments
  • 3,079 clinicians in this Medicare group

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mimose Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mimose Montgomery reassigns Medicare benefits to 2 organizations: Care Resource Community Health Centers, Inc. (Oakland Park, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mimose Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mimose Montgomery accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 6 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 2 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.