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

MS. Mimose Montgomery, LCSW

Individual provider Mental Health Counselor · NPI 1922513860

MS. Mimose Montgomery, LCSW is a Clinical Social Worker in Oakland Park, Florida. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
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

3160 Powerline Rd
Oakland Park, FL 33309-5911
Phone: (305) 576-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8910 Miramar Pkwy Ste 305b3160, Miramar, FL 33025-4100 — (305) 713-3261

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW21589 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW21589 (FL)

Record details

NPI number1922513860
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 13, 2017
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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