Individual provider · Type 1 NPI

Myles Bradley Montgomery, LCSW

Clinical Social Worker · Fair Oaks, CA

NPI number 1811085806 Active

Practice location

7940 California Ave Ste 11
Fair Oaks, CA 95628-7155

Fax (916) 422-2515

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25863 (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 1811085806

Myles Bradley Montgomery, LCSW's National Provider Identifier is 1811085806, issued on Oct 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fair Oaks, CA. The record was last updated on Aug 6, 2025.