Individual provider Active NPI

Bonnie Lee Daniels, MSW LISW-S

  • Clinical Social Worker
  • Lancaster, OH
National Provider Identifier
1083705271
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0009719 Issued in OH
Practice address
635 Mt. Zion Rd NW
Lancaster, OH 43130-9512
Phone
(740) 654-8718
Fax
(740) 654-8718
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 I0009719 OH Primary

Addresses

Primary practice location

635 Mt. Zion Rd NW
Lancaster, OH 43130-9512

Mailing address

695 Mt. Zion Rd NW
Lancaster, OH 43130-9512
Phone (740) 654-8718

Other identifiers 5

IdentifierTypeStateIssuer
000000327800OtherOHANTHEM
546919OtherOHVALUE OPTIONS
261217OtherOHCOMP PSYCH
0331945MedicaidOH
588637000OtherOHMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000158 OH Practitioner - Clinical Social Worker 2365415387 Practice locations: Lancaster, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

635 Mount Zion Rd NW
Lancaster, OH 43130-9512
Phone (740) 654-8718

695 Mount Zion Rd NW
Lancaster, OH 43130-9512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0009719OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Counseling and Psychological Services LLC Past Accepting new patients
Chris Buck and Associates, LLC Social Worker Past Accepting new patients
Faith Based Counseling PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1083705271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 MT. ZION RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309512",
            "telephone_number": "740-654-8718",
            "fax_number": "740-654-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MT. ZION RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309512",
            "telephone_number": "740-654-8718",
            "fax_number": "740-654-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "credential": "MSW LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000327800",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "546919",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP PSYCH",
            "identifier": "261217",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331945",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "588637000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.