CHILD THERAPY LAB LLC
NPI 1952075574
Social Worker - Clinical in South Bend, IN

Active since August 06, 2021
53174 FLOWING STREAM CT, SOUTH BEND, IN 46628(317) 662-4403(317) 900-1896 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Child Therapy Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILD THERAPY LAB LLC (NPI 1952075574) is a healthcare organization registered as a clinical in South Bend, Indiana and active in the NPI registry since August 2021. The organization lists Roniqua Teshae Zimmermann, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1952075574
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCHILD THERAPY LAB LLC
Location Address53174 FLOWING STREAM CTSouth Bend, IN 46628-9034
Mailing Address53174 Flowing Stream CtSouth Bend, IN 46628-9034 · (317) 662-4403 · Fax (317) 900-1896
Fax(317) 900-1896
Organization SubpartNo
Authorized OfficialRoniqua Teshae ZimmermannOwner/director · (317) 662-4403
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
NPI 1952075574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
53174 FLOWING STREAM CT, South Bend, IN 46628

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
53174 FLOWING STREAM CT
SOUTH BEND, IN 46628
Social Worker (Clinical)
53174 FLOWING STREAM CT
SOUTH BEND, IN 46628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Child Therapy Lab LLC's NPI number?

The NPI number for Child Therapy Lab LLC is 1952075574. It was assigned to this organization in the NPPES registry on August 6, 2021.

Where is Child Therapy Lab LLC located?

Child Therapy Lab LLC is located at 53174 Flowing Stream Ct, South Bend, IN 46628. The listed phone number is (317) 662-4403.

What is Child Therapy Lab LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Child Therapy Lab LLC was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.