Provider Demographics
NPI:1376425124
Name:ROHM, MONICA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ANN
Last Name:ROHM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50584 ELK TRL
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-7204
Mailing Address - Country:US
Mailing Address - Phone:574-274-5436
Mailing Address - Fax:
Practice Address - Street 1:50584 ELK TRL
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-7204
Practice Address - Country:US
Practice Address - Phone:574-274-5436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101191931041S0200X
IN34006980A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool