Gwendolyn Ligh Bohn, MT, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006226 Issued in VA

Practice address

1480 Oak Bridge CT
Powhatan, VA 23139-8054

Phone

(804) 423-1389

Fax

(804) 423-1393

NPI assigned

Mar 8, 2011

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Medical Technician

Practice roles

Interoperability endpoints

• Direct secure messaging: commonwealthcounselingassociates.gwenbohn@134000.advancedmd-direct.com

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.

• Wanda a. Crockett PLLC

  • Professional Counselor
  • Powhatan, VA
  • NPI 1477675064
  NPD (past)

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1497053946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 FLOUR MILL DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124265",
            "telephone_number": "804-305-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 OAK BRIDGE CT",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231398054",
            "telephone_number": "804-423-1389",
            "fax_number": "804-423-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "GWENDOLYN",
        "middle_name": "LIGH",
        "credential": "MT, MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail N. Barden, PT, DPT
• David A Bass, PT, DPT
• Lauren M. B. Beard, PT, DPT
• Blissful Bloom Wellness, Incorporated
• Tayler Bogert, PT, DPT
• Bon Secours St. Francis Medical Center LLC
• Bon Secours-Virginia Healthsource
• Bonded From Birth
• Sarah Frances Boudinot, RPH
• Terry Ann Brooks, CRNA

• Clinical Social Worker in Powhatan, VA
• Providers in Powhatan, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.