Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mongoose Therapy, LLC

Organization Clinical Social Worker · NPI 1578453148

Mongoose Therapy, LLC is a Clinical Social Worker in Boston, Massachusetts. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Warren Ave Apt 5
Boston, MA 02116-6150
Phone: (857) 301-7306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1150 Reservoir Ave Ste 203, Cranston, RI 02920-6032 — (401) 259-0340

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578453148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Heath — Licsw/Owner. · (857) 301-7306
Other names Nick Heath Licsw, Llc
NPI enumeratedJuly 7, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address25 Warren Ave Apt 5, Boston, MA 02116-6150

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