Brooklyn Montgomery, LCSW
NPI 1093322927ActiveIndividual· Social Worker, Clinical· Trumann, AR
Social Worker, Clinical (LCSW) in Trumann, Arkansas, licensed in AR, with an NPI issued in September 2020. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1093322927 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Sep 24, 2020 |
| Last updated in NPPES | Sep 19, 2023 |
| Certified by provider | Sep 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 10064-C | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AR) |
|---|
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