Individual
MS. CARI NICOLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
23 S 8TH ST, NOBLESVILLE, IN 46060-2632
(317) 674-3160
Mailing address
4913 GRACELAND AVE, INDIANAPOLIS, IN 46208-3426
(317) 721-1166
(317) 663-2951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149-011229
IL
1041C0700X
Clinical Social Worker
Primary
34005703A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201163980
—
IN
05
—
201178980A
—
IN
01
—
IN1231
MEDICARE GROUP
IN
Enumeration date
07/12/2006
Last updated
07/21/2022
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