Spectrum Social Growth and Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SPECTRUM SOCIAL GROWTH AND COUNSELING

Practice address

2709 Twixwood LN
South Bend, IN 46614-2471

Phone

(269) 501-2779

NPI assigned

Jun 26, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Gauthier, LCSW, MPH

Title

LCSW

Phone

(269) 501-2779

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1073439790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 TWIXWOOD LN",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142471",
            "telephone_number": "269-501-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 TWIXWOOD LN",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142471",
            "telephone_number": "269-501-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SOCIAL GROWTH AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "269-501-2779",
        "authorized_official_credential": "LCSW, MPH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.