Individual provider Active NPI

Denise Ann Bondy, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1477608586
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R042588-1 Issued in NY
Practice address
95 Allens Creek Rd Ste 216
Rochester, NY 14618-3250
Phone
(585) 355-9960
Fax
(585) 377-3553
NPI assigned
Jan 25, 2007
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 R042588-1 NY Primary

Addresses

Primary practice location

95 Allens Creek Rd Ste 216
Rochester, NY 14618-3250

Mailing address

99 Hollyvale Dr
Rochester, NY 14618-2815
Phone (585) 355-9960

Other identifiers 2

IdentifierTypeStateIssuer
P010042588OtherNYEXCELLUS PIN #
192729FKOtherNYPREFERRED CARE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120322000016 NY Practitioner - Clinical Social Worker 5395905798 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

95 Allens Creek Rd
Rochester, NY 14618-3250
Phone (585) 355-9960

95 Allens Creek Rd
BLDG. 2 Suite 216
Rochester, NY 14618-3245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R042588-1NYMDClinical Social Worker
042588NYMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1477608586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HOLLYVALE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182815",
            "telephone_number": "585-355-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK RD STE 216",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183250",
            "telephone_number": "585-355-9960",
            "fax_number": "585-377-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDY",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R042588-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS PIN #",
            "identifier": "P010042588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROVIDER #",
            "identifier": "192729FK",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.