Individual provider Active NPI

Bonnie Caraway Brown, LCSW

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1427332352
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10546 Issued in FL
Practice address
7100 Plantation Rd
Suite 11
Pensacola, FL 32504-4206
Phone
(850) 232-6935
Fax
(850) 607-6935
NPI assigned
Oct 11, 2011
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW10546 FL Primary

Addresses

Primary practice location

7100 Plantation Rd
Suite 11
Pensacola, FL 32504-4206

Mailing address

7100 Plantation Rd
Suite 11
Pensacola, FL 32504-4206
Phone (850) 232-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190530002418 FL Practitioner - Clinical Social Worker 5890038160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2461 Redford Dr
Cantonment, FL 32533-3858
Phone (850) 232-6935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10546FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bonnie Brown Counseling, LLC Clinical CurrentSince Apr 4, 2019 Accepting new patients

Locations

7100 Plantation Rd
Ste 11
Pensacola, FL 32504
Phone (850) 206-4845

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1427332352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 PLANTATION RD",
            "address_2": "SUITE 11",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044206",
            "telephone_number": "850-232-6935",
            "fax_number": "850-607-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 PLANTATION RD",
            "address_2": "SUITE 11",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044206",
            "telephone_number": "850-232-6935",
            "fax_number": "850-607-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BONNIE",
        "middle_name": "CARAWAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.