Cindy Mongrain, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009580A Issued in IN

Practice address

53846 Generations Dr
South Bend, IN 46635-1543

Phone

(574) 520-8016

NPI assigned

Mar 7, 2007

Last updated

Sep 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Master of Arts

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.

• Mongrain Counseling LLC

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1962126185
  NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1952431926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 RIVERSIDE CT APT 1C",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466161602",
            "telephone_number": "574-520-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53846 GENERATIONS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351543",
            "telephone_number": "574-520-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGRAIN",
        "first_name": "CINDY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Kate Molencupp, CNM
• Rachel Catherine Moller, RN, WHNP-BC
• Kayla Molnar
• Brian Moloney, M.D.
• Mongrain Counseling LLC
• Nanette M Monhaut, ANP-BC
• Mary Courtney Monnin, RN, LCSW
• Ayanna Moody
• Ann H Moore, R.PH
• Dawnyel Moore, CSW

• 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, 2022; 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.