Bonnie L Lungren, LCSW, CADC, CCDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007809 Issued in VA

Practice address

315 Winding River LN
Suite 201
Charlottesville, VA 22911-3568

Phone

(434) 962-8447

Fax

(434) 961-2556

NPI assigned

Dec 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bonnie Lungren LLC

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1609246974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1144599010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WINDING RIVER LN",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113568",
            "telephone_number": "434-962-8447",
            "fax_number": "434-961-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINDING RIVER LN",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113568",
            "telephone_number": "434-962-8447",
            "fax_number": "434-961-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNGREN",
        "first_name": "BONNIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW, CADC, CCDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen C Luksch, LPC
• Jordan Rebecca Lull, MD
• Christopher Luminais, M.D.
• Max A Luna, MD
• Nadia Lunardi, M.D.
• Aleksander Luniewski, MD
• Robert Lunka, DDS
• Christopher D. Lunsford, M.D.
• Kelly Jane Lunsford
• Amanda L. Lusa, MD

• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, 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 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.