Organization
BARNSTABLE COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L MONTGOMERY LICSW (PARTNER/MANAGER)
(508) 362-4250
Entity
Organization
Contact information
Practice address
923 ROUTE 6A UNIT N, YARMOUTH PORT, MA 02675-2159
(508) 362-4250
(508) 362-5150
Mailing address
923 ROUTE 6A UNIT N, YARMOUTH PORT, MA 02675-2159
(508) 362-4250
(508) 362-5150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
105247
MA
1041C0700X
Clinical Social Worker
111611
MA
2084P0800X
Psychiatry Physician
Primary
33934
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605232
TUFTS HEALTH PLAN GROUP #
MA
01
—
M18826
BCBS GROUP ID
MA
Enumeration date
09/28/2006
Last updated
09/11/2025
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