Bonnie Brower Simonetta, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS24689 Issued in CA

Practice address

630 Azalea Ave
Redding, CA 96002-0217

Phone

(530) 524-6085

NPI assigned

Apr 23, 2012

Last updated

Nov 10, 2015By 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 3

Addresses

Other names 1

• Bonnie Brower Lynch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medical Social Services Consultation Inc.

  dba Redding Counselors Group

  • Clinical Social Worker
  • Redding, CA
  • NPI 1861863680
  NPD (past) Authorized official
• Medical Social Services Consultation, Inc

  dba Senior Care Case Management by MSSC, Inc

  • Case Management Agency
  • Redding, CA
  • NPI 1063771608
  Authorized official Same address or phone
• Creekside Counseling Center Inc

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1194750547
  NPD

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1275891624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 AZALEA AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020217",
            "telephone_number": "530-524-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 AZALEA AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020217",
            "telephone_number": "530-524-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONETTA",
        "first_name": "BONNIE",
        "middle_name": "BROWER",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24689",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "LYNCH",
            "middle_name": "BROWER",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce Edward Silverstein, MD
• Jane Karen Simard, PA-C
• Dianne Simensen
• Eryn Simmons, DO
• Patricia Joyce Simon
• Lucas Ray Simonitch, PA-C
• Verenda Sims
• Alexa Singer-Telles, M.F.T.
• Amandeep Kaur Singh, MD
• Navjot Singh

• Clinical Social Worker in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.