Bonita Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001693 Issued in NC

Practice address

110 W Walker Ave
Asheboro, NC 27203-6760

Phone

(336) 633-7043

Fax

(336) 625-4969

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sandhills Center for MD/DD/Sas

  • Exclusive Provider Organization
  • West End, NC
  • NPI 1952640765
  NPD (past)
• Sandhills Center for Mental Health, Developmental Disabilities and Sub

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Asheboro, NC
  • NPI 1386814069
  NPD (past)
• Sandhills Center for Mental Health, Developmental Disabilities and Sub

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West End, NC
  • NPI 1912158643
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063429587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "1120 SEVEN LAKES DRIVE",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273760009",
            "telephone_number": "910-673-9111",
            "fax_number": "910-673-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WALKER AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036760",
            "telephone_number": "336-633-7043",
            "fax_number": "336-625-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "BONITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003576",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Renee Poarch, PA-C
• Amber Poe, LCAS-A
• Chelsea Rice Poe, FNP
• Kevin Poindexter, PHARM D
• Sharon Kaye Poole
• Patrick Berry Porter, PT
• Anna Smith Potts, NP
• Premier Internal Medicine & Urgent Care, P.L.L.C.
• Premier Internal Medicine of Asheboro, PLLC
• Premiere Pediatrics PLLC

• Clinical Social Worker in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.