Active NPIIndividual providerSole proprietor

Deborah A Mongeon, LICSW

Social Worker, Clinical in Waltham, Massachusetts

NPI Number1437264249
Practice location
105 Pine St, Suite 1, Waltham, MA 02453-5355
Fax
—
Last updated
December 4, 2014

Deborah A Mongeon is a Social Worker, Clinical based in Waltham, MA. Deborah A Mongeon practices in Waltham, MA and has the professional credentials of LICSW. The NPI Number for Deborah A Mongeon is 1437264249 and holds a License No. 1032076 (MA). The current practice location address for Deborah A Mongeon is 105 Pine St, Suite 1, Waltham, MA 02453-5355 and can be reached out via phone at 781-893-2462.

Provider Profile Details

NPI Number
1437264249
Provider Name
Deborah A Mongeon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
105 Pine St, Suite 1, Waltham, MA 02453-5355
Phone Number
781-893-2462
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 20, 2006
Last Update Date
December 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Pine St
Suite 1
Waltham, MA 02453-5355
Zip
02453-5355
Phone Number
781-893-2462
Waltham, MA 02453Get directions →

Provider Business Mailing Address Details

Address
2311 Jefferson Pl
Bellingham, MA 02019-6301
City
Bellingham
State
MA
Zip
02019-6301
Phone Number
508-657-1824

License Information

License Number
1032076
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Waltham, MA

View all Social Worker, Clinical providers in Waltham →

Frequently Asked Questions

What is the NPI number of Deborah A Mongeon, LICSW?

The NPI number of Deborah A Mongeon, LICSW is 1437264249. It was assigned on August 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Deborah A Mongeon, LICSW?

Deborah A Mongeon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1032076.

Where does Deborah A Mongeon, LICSW practice?

The practice location is 105 Pine St, Suite 1, Waltham, MA 02453-5355. The office can be reached at 781-893-2462 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437264249 directly on the NPPES registry website.

Browse related providers