Rebecca Ann Bontjes, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9385 Issued in MN

Practice address

Brainerd VA Community Based Outpatient Clinic
722 NW 7TH Street
Brainerd, MN 56401

Phone

(320) 407-4799

NPI assigned

Aug 20, 2006

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1275648453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST CLOUD VA HEALTH CARE SYSTEM",
            "address_2": "4801 VETERANS DRIVE",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-407-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRAINERD VA COMMUNITY BASED OUTPATIENT CLINIC",
            "address_2": "722 NW 7TH STREET",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "320-407-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8331 Travis Trl",
            "address_purpose": "LOCATION",
            "city": "Brainerd",
            "state": "MN",
            "postal_code": "564012774",
            "country_code": "US",
            "telephone_number": "218-821-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONTJES",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760722900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510P3B0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Bohannon
• Nikolas Todd Bohman, DC
• Daniel P Boll, PA-C
• Kevin Palmer Bollin, MSED LP
• John R Bonde, M.D.
• Anthony Howard Booth, MA, LADC
• David Boran, MD
• Luke William Borkenhagen, MSW, LICSW
• Monica Bostrom, L.P.T.
• Dustin Bowers

• Clinical Social Worker in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.