Deslie Bonano, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6126 Issued in MS

Practice address

703 W Canal St
Picayune, MS 39466-3918

Phone

(601) 749-9477

Fax

(601) 889-1265

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 MS

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, 1998

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Deslie Bonano, LCSW, BCD

  • Community/Behavioral Health Agency
  • Picayune, MS
  • NPI 1336275064
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255340501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663918",
            "telephone_number": "601-749-9477",
            "fax_number": "601-889-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663918",
            "telephone_number": "601-749-9477",
            "fax_number": "601-889-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANO",
        "first_name": "DESLIE",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124843",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Black, RBT
• Lori L Blackmer, O.D.
• James J Blount III, MD
• Julie D Bogdan, PA
• Dewitt L Bolton, MD
• Kenneth Gerard Boutte Jr., PHARMD
• Sara C Braddy, MOTR/L
• Jefferson Buntin, N.P.
• Jana B Burge
• Tiffany Burnette, APRN

• Clinical Social Worker in Picayune, MS
• Providers in Picayune, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.