Provider Demographics
NPI:1093887119
Name:SCHILLING-MONTGOMERY, TAMMY LYNN (LCMSW MHP)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LYNN
Last Name:SCHILLING-MONTGOMERY
Suffix:
Gender:F
Credentials:LCMSW MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2482 200TH ROAD
Mailing Address - Street 2:
Mailing Address - City:SABETHA
Mailing Address - State:KS
Mailing Address - Zip Code:66534
Mailing Address - Country:US
Mailing Address - Phone:785-284-0008
Mailing Address - Fax:
Practice Address - Street 1:116 WEST 19TH
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355
Practice Address - Country:US
Practice Address - Phone:402-245-4458
Practice Address - Fax:402-245-4458
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1439101YM0800X
NE7121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470528515-03Medicaid
NE470528515-04Medicaid
NE470528515-15Medicaid
NE470528515-02Medicaid
NE470528515-14Medicaid
NE82336OtherBCBS
NE470528515-00Medicaid
NE470528515-05Medicaid
NE470528515-06Medicaid
NE470528515-07Medicaid
NE470528515-01Medicaid
NE470528515-10Medicaid
NE470528515-13Medicaid
8354OtherMIDLANDS CHOICE
NE10025208200Medicaid
NE470528515-09Medicaid
NE470528515-17Medicaid
NE470528515-10Medicaid
NE470528515-17Medicaid