Mayra Dalia Montano, LCSW
NPI 1710294087ActiveIndividual· Social Worker· Fairfield, CA
Social Worker (LCSW) in Fairfield, California, licensed in CA, with an NPI issued in September 2010. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1710294087 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Sep 8, 2010 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | 82012 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
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