Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dawn Elaine Bontrager, LCSW, MDIV

Individual provider Clinical Social Worker · NPI 1417968587

Dawn Elaine Bontrager, LCSW, MDIV is a Clinical Social Worker in Mishawaka, Indiana. Qualified in 2002, 24 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
24
Licensed in
IN
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

203 E Mishawaka Ave
Mishawaka, IN 46545-6602
Phone: (574) 256-3699
Fax: (574) 256-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34005207A (IN)

Record details

NPI number1417968587
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , MDIV
Sole proprietorYes
NPI enumeratedAugust 11, 2006
Last updated in NPPESMarch 30, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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