Individual provider Active NPI

Bonita Sue Morisette-Hood, MSW, LCSW-1619

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1053506022
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
462 Issued in WY
Practice address
5000 Blackmore Rd
Casper, WY 82609
Phone
(307) 233-6000
Fax
(307) 233-6089
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1619 WY
Clinical Social Worker 1041C0700X 462 WY Primary

Addresses

Primary practice location

5000 Blackmore Rd
Casper, WY 82609

Mailing address

3019 Cabin Creek PL
Casper, WY 82604-3672
Phone (307) 258-0925

Other practice location 1

201W Lakeway Rd 1004
Gillette, WY 82718-6349
Phone (307) 682-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1619WYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Positive Solution Counseling Center, LLC Clinical PastSince Nov 4, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1053506022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 CABIN CREEK PL",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043672",
            "telephone_number": "307-258-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLACKMORE RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82609",
            "telephone_number": "307-233-6000",
            "fax_number": "307-233-6089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201W LAKEWAY RD 1004",
            "address_purpose": "LOCATION",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186349",
            "country_code": "US",
            "telephone_number": "307-682-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORISETTE-HOOD",
        "first_name": "BONITA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW-1619",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "1619",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.