Individual provider Active NPI

Ashley Lynnette Bonton, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1174045157
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103488 Issued in CA
Practice address
555 Franklin St
San Francisco, CA 94102-4414
Phone
(415) 894-0661
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW-2387 HI
Clinical Social Worker 1041C0700X 103488 CA Primary

Addresses

Primary practice location

555 Franklin St
San Francisco, CA 94102-4414

Mailing address

2158 Pyramid Dr
Richmond, CA 94803-3220
Phone (757) 701-0653

Other practice location 1

150 Muir Rd
Martinez, CA 94553-4668
Phone (925) 372-2347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW-2387HIMDSocial Worker
103488CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1174045157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 PYRAMID DR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948033220",
            "telephone_number": "757-701-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FRANKLIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024414",
            "telephone_number": "415-894-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Muir Rd",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945534668",
            "country_code": "US",
            "telephone_number": "925-372-2347",
            "fax_number": "925-372-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONTON",
        "first_name": "ASHLEY",
        "middle_name": "LYNNETTE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "LSW-2387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.