Provider Demographics
NPI:1902446529
Name:MONTANO, JOSEPH JR (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MONTANO
Suffix:JR
Gender:M
Credentials:LCSW, PHD
Other - Prefix:DR
Other - First Name:J.
Other - Middle Name:
Other - Last Name:MONTANO
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, PHD
Mailing Address - Street 1:182 N PALAFOX ST
Mailing Address - Street 2:STE 104
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-4839
Mailing Address - Country:US
Mailing Address - Phone:850-725-5563
Mailing Address - Fax:850-331-6656
Practice Address - Street 1:182 N PALAFOX ST
Practice Address - Street 2:STE 104
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-4839
Practice Address - Country:US
Practice Address - Phone:850-725-5563
Practice Address - Fax:850-331-6656
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-11
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW46411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty