Mayra Dalia Montano, LCSW is a
Social Worker - Clinical based in Fairfield, California. Mayra Dalia Montano is licensed to practice in California (license number 82012) and her current practice location is
275 Beck Ave, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 784-8123.
NPI number for Mayra Dalia Montano is 1710294087 and her current mailing address is 275 Beck Ave, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710294087.
Healthcare Provider's Profile
| Full Name | Mayra Dalia Montano |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 275 Beck Ave, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710294087
- Provider Enumeration Date: 09/08/2010
- Last Update Date: 03/30/2018
Medical Identifiers
Medical identifiers for Mayra Dalia Montano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710294087 | NPI | - | NPPES |
| 82012 | Other | CA | BOARD OF BEHAVIORAL SCIENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 82012 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mayra Dalia Montano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mayra Dalia Montano, LCSW
275 Beck Ave,
Fairfield, CA 94533-6804
Ph: (707) 784-8123 | Mayra Dalia Montano, LCSW
275 Beck Ave,
Fairfield, CA 94533-6804
Ph: (707) 784-8123 |
Reviews and Comments