Individual provider Active NPI

Mona Evelyn Krugger, IADC, LISW

  • Clinical Social Worker
  • Waterloo, IA
National Provider Identifier
1346540549
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007323 Issued in IA
Practice address
302 Broadway St
Waterloo, IA 50703-5804
Phone
(319) 448-0004
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IA
Clinical Social Worker 1041C0700X 007323 IA Primary

Addresses

Primary practice location

302 Broadway St
Waterloo, IA 50703-5804

Mailing address

2019 Keokuk Ave
Independence, IA 50644-9229
Phone (563) 920-8760

Other names 1

  • Mona Evelyn Bockenstedt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007323IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1346540549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 KEOKUK AVE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449229",
            "telephone_number": "563-920-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507035804",
            "telephone_number": "319-448-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGGER",
        "first_name": "MONA",
        "middle_name": "EVELYN",
        "credential": "IADC, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "BOCKENSTEDT",
            "middle_name": "EVELYN",
            "credential": "CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.