Individual provider Active NPI

Bonnie Corinne Frank Hume, M.S.W.

  • Clinical Social Worker
  • Athol, MA
National Provider Identifier
1477834174
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106517 Issued in MA
Practice address
14 Grove St
Suite 4
Athol, MA 01331-2660
Phone
(978) 249-3166
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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 106517 MA Primary

Addresses

Primary practice location

14 Grove St
Suite 4
Athol, MA 01331-2660

Mailing address

14 Grove St
Suite 4
Athol, MA 01331-2660
Phone (978) 249-3166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106517MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Servicenet Inc PastSince Feb 4, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1477834174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GROVE ST",
            "address_2": "SUITE 4",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312660",
            "telephone_number": "978-249-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GROVE ST",
            "address_2": "SUITE 4",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312660",
            "telephone_number": "978-249-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK HUME",
        "first_name": "BONNIE",
        "middle_name": "CORINNE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athol, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.