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Child Therapy Lab LLC

Clinical Social Worker in South Bend, IN · enumerated 2021 · authorized official Roniqua Zimmermann, Owner/Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952075574

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Registry record

Entity type Organization (Type 2)
Legal business name Child Therapy Lab LLC
Practice address 53174 Flowing Stream Ct, South Bend, IN, 46628
Phone (317) 662-4403
Fax (317) 900-1896
Enumeration date Aug 6, 2021
Last updated in NPPES Aug 6, 2021

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Roniqua Zimmermann
Title Owner/Director
Phone (317) 662-4403

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Child Therapy Lab LLC?
Child Therapy Lab LLC is registered in NPPES as a Clinical Social Worker (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-06.