Sandra Hope Bondelier, LISW-S AND LCSW
Individual provider Active NPI Clinical Social Worker · Clinton, AR
NPI 1215087572 · NPPES record last updated Oct 26, 2015
Key facts
- NPI
- 1215087572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7246-C (AR)
- Practice address
- 242 Shake Rag Rd
Clinton, AR 72031-6629 - Phone
- (419) 261-6818
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108001305 | AR | Practitioner - Clinical Social Worker | 4284936147 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7246-C | AR | MD | Clinical Social Worker |
| I4083 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals of Kansas, P.a. | Current |
Accepting new patients | |
| Doctor on Demand Professionals P C | Current |
Accepting new patients | |
| Doctor on Demand Professionals of California | Current |
Accepting new patients | |
| Doctor on Demand Professionals of New Jersey, P.C. | Current |
Accepting new patients |
Locations
300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238
275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
Interoperability endpoints
- sandra.bondelier.1@30520.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I4083 | OH | |
| Clinical Social Worker | 1041C0700X | 7246-C | AR | Yes |
Addresses
Primary practice location
242 Shake Rag Rd
Clinton, AR 72031-6629
Mailing address
261 Lakeview Dr
Fairfield Bay, AR 72088-2708
Phone (419) 261-6818
Other names
- Sandra Hope Reeves
Other providers in Clinton, AR
- Birch Tree Communities, Inc.
- Mercedes Birkner
- Mary Elizabeth Black
- Janet Blair
- Amy Beth Blanton
- Abigail Bonds
- Boston Mountain Rural Health Center, Inc
- Boston Mountain Rural Health Center, Inc
- Ashley M Bothwell
- Julie Boxnick
All providers in Clinton, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.