Bonnie D Maute, LCSW CEAP SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0456351 Issued in NY

Practice address

100 Cross Keys Office Park Ste 115
Fairport, NY 14450-3509

Phone

(585) 704-2775

NPI assigned

Aug 7, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306855440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 CLINE RD",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "14564",
            "telephone_number": "585-704-2775",
            "fax_number": "505-924-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROSS KEYS OFFICE PARK STE 115",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503509",
            "telephone_number": "585-704-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6780 Pittsford Palmyra Road",
            "address_2": "Bldg 3 Suite D",
            "address_purpose": "LOCATION",
            "city": "Faiport",
            "state": "NY",
            "postal_code": "14450",
            "country_code": "US",
            "telephone_number": "585-234-0732",
            "fax_number": "585-924-9054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUTE",
        "first_name": "BONNIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW CEAP SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0456351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Mason, MD
• Dianna Massa, RNBSN
• Maternal Mental Health Counseling of Rochester PLLC
• Steven T. Mathis, LCSW
• Kim Susan Mauro, MS CCC SLP
• Michael S. Mayer, D.M.D.
• Heather McAdoo
• Karen Gordon McAlpin
• Jessica McCollister, LPN
• Marianna Irene McCormack, M.S., O.T.R.

• Clinical Social Worker in Fairport, NY
• Providers in Fairport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.