Mongoose Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MONGOOSE THERAPY, LLC

Practice address

25 Warren Ave Apt 5
Boston, MA 02116-6150

Phone

(857) 301-7306

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Nick Heath, LICSW

Title

Licsw/Owner.

Phone

(857) 301-7306

Specialties & licenses 1

Addresses

Other names 1

• Nick Heath LICSW, LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Heath, LCSW

  • Clinical Social Worker
  • Boston, MA
  • NPI 1699943472
  NPD

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1578453148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WARREN AVE APT 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166150",
            "telephone_number": "617-320-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WARREN AVE APT 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166150",
            "telephone_number": "857-301-7306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Reservoir Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029206032",
            "country_code": "US",
            "telephone_number": "401-259-0340",
            "fax_number": "401-213-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONGOOSE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "LICSW/OWNER.",
        "authorized_official_telephone_number": "857-301-7306",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nick Heath LICSW, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ronscardy F Mondesir
• Christina Frances Mondi-Rago, PHD
• Ennya Monestime
• Derek Monette, MD
• Ashley M. Mongeon, RN
• Madison Monlezun Saunders, AU.D.
• Edward P Monnelly, M.D.
• John Klaudio A Monotya
• Demetri Monovoukas
• Alexis Monroe

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.