Individual ProviderMontana B JensenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address504 Villar St, Fredericktown, MO 63645-1042(573) 910-4311(573) 723-1100PECOS EnrollmentBased on the most recent information from CMS, provider Montana B Jensen 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 33 days ago.Profile DetailsProvider ID1790496271Provider TypeIndividualFull NameJensen, Montana BCredentialLMSWGenderFemaleSole ProprietorNoEnumeration Date12/6/2022Last Updated11/18/2025Contact InformationPractice LocationPractice Address504 Villar St, Fredericktown, MO 63645-1042Phone(573) 910-4311FaxUnlisted FaxMailing LocationMailing Address11 S Division St Ste A, Bonne Terre, MO 63628-1701Phone(573) 723-1100Fax(573) 723-1130Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2025044483Missouri