Marilyn Jeanne Bonjean, ED.D.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8-124 Issued in WI

Practice address

1524 N Farwell Ave
Milwaukee, WI 53202-2329

Phone

(414) 273-2220

Fax

(414) 273-2223

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Icf Consultants, Inc.

  • Marriage & Family Therapist
  • Milwaukee, WI
  • NPI 1518010800
  NPD Authorized official
• Icf Consultants, Inc.

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1962568998
  NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1295890606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 N DOWNER AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112466",
            "telephone_number": "414-964-7493",
            "fax_number": "414-273-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022329",
            "telephone_number": "414-273-2220",
            "fax_number": "414-273-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONJEAN",
        "first_name": "MARILYN",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-07-11",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "8-124",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "8-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39242000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Bonebrake, MD
• Landy E Bonelli, MD
• Anastasia Bonesho
• Genna Catherine Bonfiglio, MD
• Hannah Lea Bonikowske
• Ronald Dean Bonjean, PH.D.
• Abigail Bonjour
• Colleen Bonkowski, MD
• Alexandria Lee Bonne
• Valerie Jean Bonne, M.D.

• Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.