Stacia Montague
Social Worker
141 E Main St 3rd Floor Home Based Services
Waterbury
, Connecticut 06702-2310
Stacia Montague
Social Worker
141 E Main St 3rd Floor Home Based Services
Waterbury
, Connecticut 06702-2310
(203) 574-9006
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Stacia Montague
- 141 E Main St 4th Floor Administration
- Waterbury, CT
- Zip : 06702-2310
- Fax : (203) 574-9006
- Phone : (203) 574-9000
Second Address
- Stacia Montague
- 141 E Main St 3rd Floor Home Based Services
- Waterbury, CT
- Zip : 06702-2310
- Fax : (203) 575-1817
- Phone : (203) 575-0466
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In what state does Stacia Montague practice in?
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Is Stacia Montague a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1874 | CT |
National Provider Identifier
| NPI | 1003155516 |
|---|---|
| Provider Name | Stacia Montague |
| First Address | Waterbury, CT 06702-2310 |
| Second Address | Waterbury, CT 06702-2310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2013 |
| Last Update Date | 29/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008060347 | (05) | CT |
| 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY (01) | CT |
| 060669107 | HEALTHYCT WELLMORE GRP/FACILITY (01) | CT |
| 060669107 | UBH CONNECTICARE WELLMORE GRP/FACILITY (01) | CT |
| 060669107 | UBH OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY (01) | CT |
| 060669107 | UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY (01) | CT |
| 060669107 | UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY (01) | CT |
| 13671439 | CAQH (01) | CT |
| D3392029 WATERBURY | BEACON HEALTH STRATEGIES (01) | CT |
| NOT ELIGIBLE | MHN TRICARE (01) | CT |
| NOT ELIGIBLE | MHN TRICARENORTH (01) | CT |
| NOT ELIGIBLE | MHN-MANAGED HEALTH NETWORK (01) | CT |
| PENDING | AETNA BEHAVIORAL HEALTH (01) | CT |
| PENDING | CIGNA BEHAVIORAL HEALTH (01) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.