Bonnie I Handy LCSW Ladc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6646 Issued in ME

Legal business name

BONNIE I HANDY LCSW LADC

Practice address

57 Tandberg TRL
Suite #6
Windham, ME 04062-6425

Phone

(207) 653-1371

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie Irene Handy, LCSW, LADCNPI 1588655484

Title

Owner

Phone

(207) 653-1371

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie Handy, LCSW, LADC

  • Clinical Social Worker
  • Windham, ME
  • NPI 1588655484

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1437401262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040390160",
            "telephone_number": "207-653-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 TANDBERG TRL",
            "address_2": "SUITE #6",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040626425",
            "telephone_number": "207-653-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE I HANDY LCSW LADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "HANDY",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-653-1371",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC3393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ME1202",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Windham, ME
• Providers in Windham, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.