Active NPI
Laura Bonini LCSW, PLLC
- Clinical Social Worker
- Norfolk, VA
National Provider Identifier
1417454646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007040
- Legal business name
- LAURA BONINI LCSW, PLLC
- Practice address
- 5660 E Virginia Beach Blvd Ste 201
Norfolk, VA 23502-2468 - Phone
- (757) 389-1453
- Fax
- (866) 806-6123
- NPI assigned
- Apr 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Elizabeth Bonini, LCSW
- Title
- Therapist/Owner
- Phone
- (757) 389-1453
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007040 | VA | Primary |
Addresses
Primary practice location
5660 E Virginia Beach Blvd Ste 201
Norfolk, VA 23502-2468
Mailing address
1207 Dewberry Dr
Chesapeake, VA 23320-5124
Phone (757) 339-5558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAA101568 | Other | VA | MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1134447139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523577600000",
"number": "1417454646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 DEWBERRY DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205124",
"telephone_number": "757-339-5558",
"fax_number": "866-806-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5660 E VIRGINIA BEACH BLVD STE 201",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022468",
"telephone_number": "757-389-1453",
"fax_number": "866-806-6123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA BONINI LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-13",
"last_updated": "2018-04-13",
"status": "A",
"authorized_official_last_name": "BONINI",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "757-389-1453",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "VAA101568",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.