Bonnie Shultz, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 00005366 Issued in WA

Practice address

6068 Osprey Cir
Bremerton, WA 98312-8807

Phone

(360) 813-1374

NPI assigned

Oct 2, 2015

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 names 1

• Bonnie Letinich Former name

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1275903213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6068 OSPREY CIR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983128807",
            "telephone_number": "360-813-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6068 OSPREY CIR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983128807",
            "telephone_number": "360-813-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "BONNIE",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 00005366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "LETINICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kennedy Shoemaker
• Judith Shoesmith, PTA
• Marshall Short
• Michael Gareth Shrouf, ARNP
• Garyn Fredrick Shuler, PHARM. D.
• Peter Douglas Sicotte, P.T.
• Valerie Siddall, LMP
• Sidestix Ventures USA
• Alexandria Jean Siefert, LICSW
• Rebecka Silberman

• Clinical Social Worker in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.