Individual provider Active NPI

Megan Bonner, CSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1346006137
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
257205 Issued in KY
Practice address
4010 Dupont Cir Ste 419
Louisville, KY 40207-4837
Phone
(502) 409-6993
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 257205 KY Primary

Addresses

Primary practice location

4010 Dupont Cir Ste 419
Louisville, KY 40207-4837

Mailing address

4010 Dupont Cir Ste 419
Louisville, KY 40207-4837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227002698 IN Practitioner - Clinical Social Worker 3870013279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
257205KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center CurrentSince Jan 31, 2025 Accepting new patients
Meridian Behavioral Health, Inc CurrentSince Mar 3, 2024 Accepting new patients

Locations

2101 Jackson St
Ste 109
Anderson, IN 46016
Phone (503) 270-3776

3310 W Fox Ridge Ln
Ste A
Muncie, IN 47304

4010 DuPont Cir
Ste 419
Louisville, KY 40207
Phone (502) 409-6993

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1346006137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 419",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 419",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074837",
            "telephone_number": "502-409-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "MEGAN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.