Individual provider Active NPI

Bonnie Zweifel, LMSW

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1063548493
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071985-1 Issued in NY
Practice address
401 Columbia St
Suite 200
Utica, NY 13502-3413
Phone
(315) 735-2236
Fax
(315) 735-9177
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071985-1 NY Primary

Addresses

Primary practice location

401 Columbia St
Suite 200
Utica, NY 13502-3413

Mailing address

21 Hartford Ter
New Hartford, NY 13413-2307
Phone (315) 733-7279

Other identifiers 1

IdentifierTypeStateIssuer
071985-1OtherNYLIC. MASTER SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071985-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of the Mohawk Valley Ince Clinical Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063548493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HARTFORD TER",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132307",
            "telephone_number": "315-733-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COLUMBIA ST",
            "address_2": "SUITE 200",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023413",
            "telephone_number": "315-735-2236",
            "fax_number": "315-735-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWEIFEL",
        "first_name": "BONNIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071985-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. MASTER SOCIAL WORKER",
            "identifier": "071985-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • 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.