Bonnie E Gershenzon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3411 Vantage LN
Glenview, IL 60026-1366

Phone

(847) 480-9671

Fax

(847) 480-9643

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 IL

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blaine, Gershenzon, and Heins

  • Clinical Psychologist
  • Glenview, IL
  • NPI 1417100991
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346345303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 VANTAGE LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261366",
            "telephone_number": "847-480-9671",
            "fax_number": "847-480-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 VANTAGE LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261366",
            "telephone_number": "847-480-9671",
            "fax_number": "847-480-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHENZON",
        "first_name": "BONNIE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emy E George
• Tia Marina Georgiades
• Jessica Gerding
• Gerihands LLC
• Emily Gerny
• Sari Gershman, MOTR/L
• Emily Gerskowitz, LCSW
• Amanda Gertz
• Zainab Ghouse, PA
• Anastasia Gianakakos, M.D.

• Clinical Social Worker in Glenview, IL
• Providers in Glenview, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.