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

Mr. Monty Shultz, LCSW

Individual provider Mental Health Counselor · NPI 1558691279

Mr. Monty Shultz, LCSW is a Clinical Social Worker in Prescott, Arizona. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Arizona and Nebraska.

Years since qualifying
17
Licensed in
AZ, NE
In the registry since
2009
Specialties on file
3
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

141 S McCormick St Ste 100
Prescott, AZ 86303-4730
Phone: (308) 627-4743
Fax: (928) 852-0804
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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 21334 (AZ)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1219 (NE)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9058 (NE)

Record details

NPI number1558691279
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 31, 2009
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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