Active NPI
Bonnie Jean Houlihan, L.C.S.W.
- Clinical Social Worker
- Rancho Cucamonga, CA
National Provider Identifier
1285773705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 20708
- Practice address
- 9478 Etiwanda Ave
Rancho Cucamonga, CA 91739-9662 - Phone
- (909) 463-7582
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 20708 | CA | Primary |
Addresses
Primary practice location
9478 Etiwanda Ave
Rancho Cucamonga, CA 91739-9662
Mailing address
9478 Etiwanda Ave
Rancho Cucamonga, CA 91739-9662
Phone (909) 463-7582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 20708 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285773705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9478 ETIWANDA AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917399662",
"telephone_number": "909-463-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9478 ETIWANDA AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917399662",
"telephone_number": "909-463-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOULIHAN",
"first_name": "BONNIE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 20708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
- Hospice Spectrum Inland Empire
- Hospitalist Corporation of Inland Empire (Haven Urgent Care)
- Hospitality Care Transport
- Jordyn Hotchkiss
- Jennifer Ann Houger, M.S.
- Howard Siegel MD Inc
- Devyn Howard
- Lateefah Saleemah Howard
- Rakelah Howard
- HRC Integrative Mental Health Professional Clinical Counselor PC (Wellness Ranch Therapy)
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.