Michael Joseph Boniello, LSCSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCSW #891 Issued in KS

Practice address

1900 W 75TH St
Suite 120
Prairie Village, KS 66208-3502

Phone

(913) 384-6542

Fax

(913) 384-4629

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

University of Kansas School of Med (KC/Wich/Sal), 1983

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.

• Leslie a Abbey, L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prairie Village, KS
  • NPI 1063709509
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346345691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 75TH ST",
            "address_2": "SUITE 120",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083502",
            "telephone_number": "913-384-6542",
            "fax_number": "913-384-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 75TH ST",
            "address_2": "SUITE 120",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083502",
            "telephone_number": "913-384-6542",
            "fax_number": "913-384-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIELLO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LSCSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW #891",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "LCSW #1548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Marie Bittner, LMFT-T
• Kerri Leigh Blair
• Yuki Block, COTA
• Janice M Bode, PT
• Kathryn Rose Boman, LMSW
• Jennifer Borman
• Scott D Born
• Elizabeth Bowman
• Lisa Ree Bowser, PT
• Kelly Docking Bracco

• Clinical Social Worker in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Clinical Social Worker in Kansas

• 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.