Mary Courtney Monnin, RN, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006005A Issued in IN

Practice address

54379 30TH St
South Bend, IN 46635-2002

Phone

(574) 855-4076

Fax

(574) 855-4076

NPI assigned

Nov 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1265613806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54379 30TH ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466352002",
            "telephone_number": "574-855-4076",
            "fax_number": "574-855-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54379 30TH ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466352002",
            "telephone_number": "574-855-4076",
            "fax_number": "574-855-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNIN",
        "first_name": "MARY",
        "middle_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "RN, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006005A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28139218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Molnar
• Brian Moloney, M.D.
• Mongrain Counseling LLC
• Cindy Mongrain, MA
• Nanette M Monhaut, ANP-BC
• Ayanna Moody
• Ann H Moore, R.PH
• Dawnyel Moore, CSW
• Jacinda R Moore, MSW
• Lisa Marie Moore, DDS

• 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 Sep 30, 2010; 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.