Active NPI
Alicia Bonilla
- Clinical Social Worker
- Miami, FL
National Provider Identifier
1073052247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13511
- Practice address
- 9350 Sunset Dr Ste 151
Miami, FL 33173-3286 - Phone
- (786) 548-1022
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | SW13511 | FL | Primary |
Addresses
Primary practice location
9350 Sunset Dr Ste 151
Miami, FL 33173-3286
Mailing address
8900 N Kendall Dr
Miami Cancer Institute
Miami, FL 33176-2118
Phone (786) 527-8244
Other practice location 1
3436 Marinatown Ln Ste 7
Fort Myers, FL 33903-7058
Phone (786) 548-1022
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW13511 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1073052247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"address_2": "MIAMI CANCER INSTITUTE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118",
"telephone_number": "786-527-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 SUNSET DR STE 151",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733286",
"telephone_number": "786-548-1022"
}
],
"practiceLocations": [
{
"address_1": "3436 Marinatown Ln Ste 7",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339037058",
"country_code": "US",
"telephone_number": "786-548-1022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONILLA",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.