IndividualActive
Michael Montgomery, LCSW
NPI 1003005166 · Clinical Social Worker · Wellsville, UT
Provider details
- NPI number
- 1003005166
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7334775-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7877 S Highway 89 # 91
Wellsville, UT 84339-9416
Phone: (385) 388-7930
Approximate (ZIP-level) locationGet directions
Mailing address
7877 S Highway 89 # 91
Wellsville, UT 84339-9416
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2022-04-27
- Certified
- 2022-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.