Individual provider Active NPI

Laura Bonini, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1134447139
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007040 Issued in VA
Practice address
5660 E Virginia Beach Blvd Ste 201
Norfolk, VA 23502-2468
Phone
(757) 389-1453
Fax
(866) 806-6123
NPI assigned
May 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 0904007040 VA Primary

Addresses

Primary practice location

5660 E Virginia Beach Blvd Ste 201
Norfolk, VA 23502-2468

Mailing address

5660 E Virginia Beach Blvd Ste 201
Norfolk, VA 23502-2468
Phone (757) 389-1453

Other practice location 1

6275 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2851
Phone (757) 961-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100824001200 VA Practitioner - Clinical Social Worker 3274657465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5660 E Virginia Beach Blvd
Suite 201
Norfolk, VA 23502-2468
Phone (757) 389-1453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007040VAMDClinical Social Worker

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1134447139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 E VIRGINIA BEACH BLVD STE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022468",
            "telephone_number": "757-389-1453",
            "fax_number": "866-806-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 E VIRGINIA BEACH BLVD STE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022468",
            "telephone_number": "757-389-1453",
            "fax_number": "866-806-6123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6275 E Virginia Beach Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022851",
            "country_code": "US",
            "telephone_number": "757-961-0606",
            "fax_number": "757-233-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONINI",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.