Dawn Elaine Bontrager, LCSW , MDIV

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005207A Issued in IN

Practice address

203 E Mishawaka Ave
Mishawaka, IN 46545-6602

Phone

(574) 256-3699

Fax

(574) 256-3060

NPI assigned

Aug 11, 2006

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

Other identifiers 1

Other names 1

• Dawn Elaine Bontrager Professional name

Medicare fee-for-service enrollment

Enrolled in IN

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1417968587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E MISHAWAKA AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456602",
            "telephone_number": "574-256-3699",
            "fax_number": "574-256-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E MISHAWAKA AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456602",
            "telephone_number": "574-256-3699",
            "fax_number": "574-256-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTRAGER",
        "first_name": "DAWN",
        "middle_name": "ELAINE",
        "credential": "LCSW , MDIV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005207A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (ADMINASTAR FEDERAL)",
            "identifier": "237580EEEE",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "BONTRAGER",
            "middle_name": "ELAINE",
            "credential": "LCSW , MDIV",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Boettcher
• Mimzy Vanessa Bohannon
• Daniel A Boll, MD
• Ryan Bonek, M.D.
• Cheryl L Bonsell, LCSW
• Rachel Lynette Boone, LSW
• Janiya Drashaya Boothe
• Jeffrey S Borders, MD
• Mark S Borenstein, MD
• Arman Borhan, MD

• Clinical Social Worker in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.