Madeline Paige Bonner, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016347 Issued in NC

Practice address

5561 McNeely Dr Ste 101
Raleigh, NC 27612-7625

Phone

(984) 305-3141

NPI assigned

Jun 15, 2021

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tide Pool Counseling PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1578330791
  NPD Authorized official
• You-Turn Counseling

  • Marriage & Family Therapist
  • Clayton, NC
  • NPI 1376945907
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1407424542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 MCNEELY DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127625",
            "telephone_number": "919-667-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 MCNEELY DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127625",
            "telephone_number": "984-305-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "MADELINE",
        "middle_name": "PAIGE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016303",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Boney, RD
• Mary White Boney
• Jessica Jean Bonnelly, FNP-C
• Helen Alexandra Bonner, DPT
• Imelda Awuor Bonner, PMHNP-BC
• Madelyn Grace Bonomini
• Kendall Felipe Bonot, PA-C
• Roy Dewayne Book, M.D.
• Annie Ruth Booker
• Francina Booker, LPN

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.