Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Petacque Montgomery

Individual provider Clinical Social Worker · NPI 1104625805

Ellen Petacque Montgomery is a Clinical Social Worker in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

1743 N Sedgwick St
Chicago, IL 60614-5721
Phone: (312) 318-0260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1743 N Sedgwick St, Chicago, IL 60614-5721 — (312) 318-0260

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149007355 (IL)

Record details

NPI number1104625805
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2025
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

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