ELIZABETH A MONTOUR MSW NPI 1629162771

NPI Information

NPI: 1629162771
Provider Name: ELIZABETH A MONTOUR, MSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1415 E GREEN BAY ST
STE 191
SHAWANO, WI
ZIP 54166
Phone: (715) 526-5466
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Elizabeth A Montour, MSW is a counselor in Shawano, WI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Elizabeth A Montour, MSW NPI is 1629162771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1415 E GREEN BAY ST
STE 191
SHAWANO, WI
ZIP 54166-879
Phone: (715) 526-5466
Fax: (715) 526-5545

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		7274123	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	40925100	MEDICAID	WISCONSIN
2	0006	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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