ROSE D MONTGOMERY (MSW, LCSW) – Social Worker, NPI 1124626254

ROSE D MONTGOMERY (MSW, LCSW) is a healthcare provider. based in Malvern, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. CW024043 (PA). The NPI Number for ROSE D MONTGOMERY (MSW, LCSW) is 1124626254

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ROSE D MONTGOMERY (MSW, LCSW)
NPI
1124626254
Phone
(610) 646-1851
Address
1200 ATWATER DR STE 130
Enumeration Date
12 October 2020
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607886404
Graduation Year
2020 (6 years ago)
PAC ID
5890135727
Group Practice PAC ID
8527488030
Professional Enrollment ID
I20240425002826
Address ID
PA171011071HA600XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for ROSE D MONTGOMERY (MSW, LCSW)

  • 1200 ATWATER DR STE 130

    MALVERN, PA 193558782

    Phone: (610) 646-1851

    Fax: (484) 355-5181

    Type: Location

  • 2005 CABOT BLVD W

    LANGHORNE, PA 190471885

    Phone: (267) 587-2300

    Type: Location

  • 50 SECOND AVE

    COLLEGEVILLE, PA 194262689

    Phone: (610) 539-0520

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240425002826IClinical Social WorkerPATBD
I20250408001299IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527488030View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerCT
Clinical Social WorkerPA
Clinical Social WorkerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerCT
Nurse PractitionerCT
Clinical PsychologistPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ROSE D MONTGOMERY (MSW, LCSW)?
ROSE D MONTGOMERY (MSW, LCSW) — NPI 1124626254 — is the standard way to identify this listing.
Can I rely on ROSE D MONTGOMERY (MSW, LCSW) being an active provider?
As of the registry snapshot, ROSE D MONTGOMERY (MSW, LCSW) is marked active.
What healthcare role does ROSE D MONTGOMERY (MSW, LCSW) hold?
Scheduling teams often label ROSE D MONTGOMERY (MSW, LCSW) under Social Worker. Clinical services aligned with this taxonomy classification.
What area does ROSE D MONTGOMERY (MSW, LCSW) serve?
ROSE D MONTGOMERY (MSW, LCSW)'s listing highlights Malvern, Pennsylvania; more addresses can appear in NPPES.
Why does ROSE D MONTGOMERY (MSW, LCSW) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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