Patricia A Bonnay, MSW, LCSW
Individual provider Active NPI Social Worker · Carefree, AZ
NPI 1295749554 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1295749554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LCSW11923 (AZ)
- Practice address
- PO Box 968
Carefree, AZ 85377-0968 - Phone
- (602) 301-2263
- Fax
- (602) 680-5141
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW11923 | AZ | MD | Social Worker |
| LCSW-11923 | AZ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-11923 | AZ | |
| Social Worker | 104100000X | LCSW11923 | AZ | Yes |
Addresses
Primary practice location
PO Box 968
Carefree, AZ 85377-0968
Mailing address
PO Box 968
Carefree, AZ 85377-0968
Phone (602) 301-2263
Other providers in Carefree, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.