Provider Demographics
NPI:1447380910
Name:MONTES, ARTHUR GABRIEL (DSW LCSW)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:GABRIEL
Last Name:MONTES
Suffix:
Gender:M
Credentials:DSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 BIRCH ST STE 3000
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2140
Mailing Address - Country:US
Mailing Address - Phone:818-741-6068
Mailing Address - Fax:949-576-3913
Practice Address - Street 1:5000 BIRCH ST STE 3000
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2140
Practice Address - Country:US
Practice Address - Phone:818-741-6068
Practice Address - Fax:949-576-3913
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA245871041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health