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

Montavious Bryant, LCSW

Individual provider Counselor · NPI 1548621667

Montavious Bryant, LCSW is a Clinical Social Worker in Lake City, Florida. Qualified in 2022, 4 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (772) 713-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW23131 (FL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1548621667
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 17, 2016
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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