Montgomery, Sabrena
Montgomery, Sabrena is an sole proprietor health care provider with primary practice located at 605 Post Office Rd Ste 301 , Waldorf MD 20602-1913. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Montgomery, Sabrena can be contacted via phone (240) 349-2507.Contact Information
Primary practice address
605 Post Office Rd Ste 301
Waldorf MD 20602-1913
Phone: (240) 349-2507
Fax: (301) 494-3234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17506 | Maryland |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 17506 | Maryland |
Profile Details
| NPI number | 1124446570 |
|---|---|
| LBN Legal business name | Montgomery, Sabrena |
| Credentials | LCSW-C, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2014 |
| Last updated | Oct 23rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124446570 | NPPES |
| Maryland | MEDICAID | 098540600 | |
| Maryland | MEDICAID | 480202100 |
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