Individual provider · Type 1 NPI

Idalis Montero

Clinical Social Worker · Lakeland, FL

NPI number 1003317199 Active

Practice location

1010 E Rose St
Lakeland, FL 33801-2016

Call (863) 413-3126 Map

Mailing address

5460 Siltstone St
Lakeland, FL 33811-3170

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW21687 (FL)

Clinical Social Worker: 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 interpers…

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About NPI 1003317199

Idalis Montero's National Provider Identifier is 1003317199, issued on Feb 23, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakeland, FL. The record was last updated on Jan 28, 2026.