Child Therapy Lab LLC
NPI 1952075574 · Clinical Social Worker · South Bend, IN
Child Therapy Lab LLC is a Clinical Social Worker organization in South Bend, IN (NPI 1952075574).
Provider details
- NPI number
- 1952075574
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Roniqua Zimmermann, Owner/Director(317) 662-4403
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2021-08-06
- Certified
- 2021-08-06
Frequently asked questions
- What is Child Therapy Lab LLC's NPI number?
- Child Therapy Lab LLC's National Provider Identifier (NPI) is 1952075574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Child Therapy Lab LLC?
- Child Therapy Lab LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Child Therapy Lab LLC located?
- Child Therapy Lab LLC's practice location on file with NPPES is 53174 Flowing Stream Ct, South Bend, IN 46628-9034.
- What is Child Therapy Lab LLC's phone number?
- The practice phone number listed in the NPPES registry for Child Therapy Lab LLC is (317) 662-4403.
- Who is the authorized official for Child Therapy Lab LLC?
- The authorized official listed on Child Therapy Lab LLC's NPPES record is Roniqua Zimmermann, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Child Therapy Lab LLC's NPI active?
- Yes — Child Therapy Lab LLC's NPI (1952075574) is active in the NPPES registry as of the last update on 2021-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.