Provider Demographics
NPI:1588132732
Name:ARTHUR MONTES, LICENSED CLINICAL SOCIAL WORKER, INC.
Entity type:Organization
Organization Name:ARTHUR MONTES, LICENSED CLINICAL SOCIAL WORKER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:G
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:DSW LCSW
Authorized Official - Phone:877-421-1711
Mailing Address - Street 1:5000 BIRCH ST WEST TOWER
Mailing Address - Street 2:STE 3000
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7100
Mailing Address - Country:US
Mailing Address - Phone:818-741-6068
Mailing Address - Fax:949-576-3913
Practice Address - Street 1:5000 BIRCH ST WEST TOWER
Practice Address - Street 2:STE 3000
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7100
Practice Address - Country:US
Practice Address - Phone:818-741-6068
Practice Address - Fax:949-576-3913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM70904FMedicaid