Individual provider · Type 1 NPI

Mary Montero, LCSW

Clinical Social Worker · Eatonton, GA

NPI number 1265140164 Active

Practice location

267 Winding River Rd
Eatonton, GA 31024-5242

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26574 (CA)

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 1265140164

Mary Montero, LCSW's National Provider Identifier is 1265140164, issued on Nov 9, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eatonton, GA. The record was last updated on Feb 25, 2026.