Individual provider · Type 1 NPI
Crystal Dawn Montgomery, LCSW
Clinical Social Worker · Cape Girardeau, MO
Practice location
615 N Broadview St Ste 102
Cape Girardeau, MO 63701-4372
Mailing address
114 David Dr
Jackson, MO 63755-7780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2015034790 (MO) |
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 1083186175
Crystal Dawn Montgomery, LCSW's National Provider Identifier is 1083186175, issued on Dec 30, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cape Girardeau, MO. The record was last updated on Dec 30, 2018.