Bonnie Craemer LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BONNIE CRAEMER LLC

Practice address

2205 Riverstone Blvd Ste 273
Canton, GA 30114-5250

Phone

(770) 209-3908

NPI assigned

Jun 19, 2022

Organization subpart

No

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

Authorized official

Name

Bonnie Petrie Craemer, LCSWNPI 1689997934

Title

Owner/Pscyhotherapist

Phone

(770) 209-3908

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie Petrie Craemer, L.C.S.W

  • Clinical Social Worker
  • Woodstock, GA
  • NPI 1689997934
  NPD Authorized official

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655596800000",
    "number": "1285365593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 RIVERSTONE BLVD STE 273",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145250",
            "telephone_number": "770-209-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 RIVERSTONE BLVD STE 273",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145250",
            "telephone_number": "770-209-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE CRAEMER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-19",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A",
        "authorized_official_last_name": "CRAEMER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "PETRIE",
        "authorized_official_title_or_position": "OWNER/PSCYHOTHERAPIST",
        "authorized_official_telephone_number": "770-209-3908",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689997934",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy B Boehm, RD, LD
• David Paul Boggs, PT
• Shaletha M Bolden, DDS, MSD
• Bolt Eye Group-Canton LLC
• Itka G Bones-Rivera, DC
• Garrett Boures
• Jed Wyatt Bowen
• Sarah Baggett Bowen, PHARMD
• Morgan P Bowler, PA-C
• Katharine Marie Bowling, FNP-C

• Clinical Social Worker in Canton, GA
• Providers in Canton, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; 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.