Jonathan R Bernon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005443 Issued in CT

Practice address

555 Heritage Rd
Suite 104
Southbury, CT 06488-3846

Phone

(203) 264-5030

NPI assigned

Feb 12, 2015

Last updated

Feb 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Family Workshop, LLC

  • Clinical Social Worker
  • Southbury, CT
  • NPI 1508279845
  NPD (past) Authorized official

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1225429194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HERITAGE RD",
            "address_2": "SUITE 104",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883846",
            "telephone_number": "203-264-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE RD",
            "address_2": "SUITE 104",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883846",
            "telephone_number": "203-264-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNON",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005443",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Bellotti, PHD
• Vanessa Beltran
• Susan Beris, M.D.
• Hilary Berk, MS, OTR/L
• Kelli Ann Bernier, NP-C
• Marianne Bette, MD EAAFP
• Erin M Bibber, DMD, MS
• Janice Milot Bickerstaff, LPC
• Sandra Biolo, A.P.R.N.
• Richard Nicholas Biondi, M.D.

• Clinical Social Worker in Southbury, CT
• Providers in Southbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.