Individual provider · Type 1 NPI

Jerry A. Montgomery, MSW ACSW LCSW

Clinical Social Worker · La Porte, IN

NPI number 1750456356 Active

Practice location

304 Detroit St, Suite A
La Porte, IN 46350-2473

Call (219) 617-0526 Map

Mailing address

226 Barker Rd
Michigan City, IN 46360

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34002011A (IN)

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 1750456356

Jerry A. Montgomery, MSW ACSW LCSW's National Provider Identifier is 1750456356, issued on Nov 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Porte, IN. The record was last updated on Mar 18, 2008.