Nicole B De Bonis, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00022200 Issued in NJ

Practice address

One Bethany Road
Suite 34 Institute for Psychological & Spiritual Growth
Hazlet, NJ 07730

Phone

(732) 739-4098

NPI assigned

Dec 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1154485274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BETHANY ROAD",
            "address_2": "SUITE 34 INSTITUTE FOR PSYCHOLOGICAL & SPIRITUAL GROWTH",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-739-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BETHANY ROAD",
            "address_2": "SUITE 34 INSTITUTE FOR PSYCHOLOGICAL & SPIRITUAL GROWTH",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-739-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BONIS",
        "first_name": "NICOLE",
        "middle_name": "B",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00022200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS CO",
            "identifier": "P442571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn D'Aquila
• Shannon Dahse, MA, LPC, SAC
• Anne Danieles, FNP-C
• Glynda Rose Daradar, NURSE PRACTITIONER
• Darren James DPM
• Dental Wellness Center
• Elyssa Denton, LCSW
• Robyn F Derespinis, LCSW
• James Thomas Devone, LPC
• Michaela Diaz

• Clinical Social Worker in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.