Bonny Kaitlin Westerman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009211 Issued in VA

Practice address

7969 Ashton Ave
Manassas, VA 20109-2885

Phone

(703) 792-7800

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bonny Kaitlyn Panter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1124460035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13361 CROWNING PL",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361790",
            "telephone_number": "865-637-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7969 ASHTON AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092885",
            "telephone_number": "703-792-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERMAN",
        "first_name": "BONNY",
        "middle_name": "KAITLIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNY",
            "last_name": "PANTER",
            "middle_name": "KAITLYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raymond S Weinstein, M.D.
• Laurie Ann Weiss-Braunstein, L.C.S.W.
• Juan Weiss, M.D.
• Wellness Psychotherapy LLC
• Joanna Lynne Wen, O.D.
• Cindy Whang, OTD
• Kristen Cozette Byington Whatley, M.A. CCC-SLP
• Ashley White
• Charla Jeanine White
• Lee Anthony White, MS, CCC-SLP

• Clinical Social Worker in Manassas, VA
• Providers in Manassas, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.