Beverly Judith Bonilla-Flores, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1445 Fairway Oaks Dr
Casselberry, FL 32707-5162

Phone

(386) 785-4351

NPI assigned

Aug 4, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1356895650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 FAIRWAY OAKS DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075162",
            "telephone_number": "386-785-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 FAIRWAY OAKS DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075162",
            "telephone_number": "386-785-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA-FLORES",
        "first_name": "BEVERLY",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Bocco, D.C.
• Beverley Bodley, APRN
• David B Bollet, M.ED. LMHC
• Robert M Bollet, ED.D.
• Chetana Mantri Bommana
• Polly L Boone
• Marina Boules
• Karen Bova, FNP, PMHNP
• Morgan Taylor Bradley, MD
• Neal Cearan Brady, L.AC.

• All providers in Casselberry, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.