Mary C Dugan-Marx, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005614A Issued in IN

Practice address

612 S 20TH St
Chesterton, IN 46304-2762

Phone

(219) 916-4271

NPI assigned

Sep 14, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bowen Health Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Wayne, IN
  • NPI 1023668183
  NPD
• Bowen Health Inc

  dba Otis R Bowen Center

  • Adult Mental Health Clinic/Center
  • Warsaw, IN
  • NPI 1639172810
  NPD
• Laporte County Comprehensive Mental Health Council

  dba Swanson Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Michigan City, IN
  • NPI 1295746816
  NPD
• Southlake Community Mental Health Center Inc.

  dba Regional Mental Health Center

  • Clinic/Center
  • Merrillville, IN
  • NPI 1821081290
  NPD
• Southlake Community Mental Health Center, Inc.

  dba Regional Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1477007292
  NPD
• Greenhouse and Associates Inc.

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1114237336
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1184932923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S 20TH ST",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042762",
            "telephone_number": "219-916-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 20TH ST",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042762",
            "telephone_number": "219-916-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN-MARX",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005614A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiana Lee Morgan Downs, COTA
• Carla Dreher, M.D.
• Douglas Dreher, M.D.
• Layne Drudge
• Kayla Duesing
• Dune Grass Surgical Suites, LLC
• Duneland Counseling Center, Inc.
• Duneland Family Eyecare LLC
• Duneland Nephrology PC
• Duneland School Corporation

• Clinical Social Worker in Chesterton, IN
• Providers in Chesterton, 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 Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.