Kathy Renae Bonde, CAPSW

Individual provider Active NPI Clinical Social Worker · Brownsville, WI

NPI 1336489905 · NPPES record last updated Feb 19, 2013

Key facts

NPI
1336489905
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
127022-121 (WI)
Practice address
N2546 Oaklane Rd
Brownsville, WI 53006-1138
Phone
(920) 948-4916
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
127022-121WIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 127022-121 WI Yes

Addresses

Primary practice location

N2546 Oaklane Rd
Brownsville, WI 53006-1138

Mailing address

N2546 Oaklane Rd
Brownsville, WI 53006-1138
Phone (920) 948-4916

Other providers in Brownsville, WI

All providers in Brownsville, WI · Clinical Social Worker in Wisconsin

Sources for this page

Verify at the official NPI Registry.