Justin L Monty | Shaker Heights, OH • PECOS Search

Justin L Monty

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Blvd, Shaker Heights, OH 44118

(440) 320-8387 (216) 352-1295

PECOS Enrollment

Based on the most recent information from CMS, provider Justin L Monty does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1649653973
Provider Type
Individual
Full Name
Monty, Justin L
Credential
LISW

Gender
Male
Sole Proprietor
No
Enumeration Date
7/6/2015
Last Updated
3/10/2023

Contact Information

Practice Location

22001 Fairmount Blvd, Shaker Heights, OH 44118

Unlisted Fax

Mailing Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4897

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.2002514 Ohio