OrganizationMichael Montie Lcsw LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address280 N Providence Rd Ste 106, Media, PA 19063-3530(610) 389-4531PECOS EnrollmentBased on the most recent information from CMS, provider Michael Montie Lcsw Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1730731035Provider TypeOrganizationFull NameMichael Montie Lcsw LlcSubpartNoEnumeration Date7/16/2019Last Updated7/16/2019Contact InformationPractice LocationPractice Address280 N Providence Rd Ste 106, Media, PA 19063-3530Phone(610) 389-4531FaxUnlisted FaxMailing LocationMailing Address1111 Belfield Ave., Drexel Hill, PA 19026PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameMontie, Michael (Owner)Phone(610) 389-4531Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDCW013107DescriptionOtherIssuer1295750610Pennsylvania