Leslie Marilyn Bonilla, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8834-S Issued in NV

Practice address

438 Pyramid Way
Sparks, NV 89431-5053

Phone

(775) 378-2775

Fax

(775) 525-3889

NPI assigned

Apr 4, 2017

Last updated

Jun 9, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1447783774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 PYRAMID WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315053",
            "telephone_number": "775-378-2775",
            "fax_number": "775-525-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 PYRAMID WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315053",
            "telephone_number": "775-378-2775",
            "fax_number": "775-525-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "LESLIE",
        "middle_name": "MARILYN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8834-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body in Knead
• Liesha Bolton
• Shannon Bolton
• Lorraine Kay Bonaldi
• Brett Bonetti
• Cynthia Rene' Bonini
• Jennifer A C Bonow, PHD, BCBA-D, LBA
• Brandon James Borom, RDN LMT MBW BSN
• Rachel Elaine Bos
• Krista Bosch

• Clinical Social Worker in Sparks, NV
• Providers in Sparks, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.