BMSC Az LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BMSC AZ LLC

Practice address

10204 Bode St Ste B
Plainfield, IL 60585-9813

Phone

(855) 241-7160

Fax

(954) 324-8354

NPI assigned

Aug 26, 2016

Last updated

May 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melanie Donohue, LCSWNPI 1477613750

Title

Authorized Official

Phone

(855) 241-7160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, WI, IN, UT, TN, NY, MA, SC, VA, MO, LA, ME, OR, WA, GA, NJ, MD, IA, PA, CT, OK, KY, NH, OH, KS, MT, MS, AR, DC, DE, AL, NM, NE33 enrollments

Enrollment records 33

Locations

Practitioners 192

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Viktorija Bennett

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1164108429

  OH, PA

  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Thiel

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1811746670

  WI

  Medicare reassignment Care Compare group NPD
• Camilla Wallace, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1851572606

  IN

  Medicare reassignment Care Compare group NPD
• Mahly Enid Alejandro, MSW

  • Social Worker
  • Framingham, MA
  • NPI 1124758016

  Clinical

  Medicare reassignment Care Compare group NPD
• Anna L Barrios, LISW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1639160625

  WA

  Medicare reassignment Care Compare group NPD
• Lori A Beals, LMHC

  • Professional Counselor
  • Greenwood, IN
  • NPI 1417118258
  Medicare reassignment Care Compare group NPD
• Dawn Berkley-Eren, LCSW

  • Social Worker
  • Oceanside, NY
  • NPI 1881292266
  Medicare reassignment Care Compare group NPD
• Ada Bettridge, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
  • NPI 1093536310

  DC, NJ

  Medicare reassignment Care Compare group NPD
• Alan Booth, LMSW

  • Social Worker
  • New York, NY
  • NPI 1124406194
  Medicare reassignment Care Compare group NPD
• Erika Branham, MSW, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1497191753

  AZ

  Medicare reassignment Care Compare group NPD
• Kathleen Ryan Bridges, LCSW

  • Clinical Social Worker
  • Dalton, GA
  • NPI 1669259198
  Medicare reassignment Care Compare group NPD
• Caroline Lisa Anne Browne, LCSW

  • Clinical Social Worker
  • Yonkers, NY
  • NPI 1023393113
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1497201875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 BODE ST STE B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859813",
            "telephone_number": "855-241-7160",
            "fax_number": "954-324-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 BODE ST STE B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859813",
            "telephone_number": "855-241-7160",
            "fax_number": "954-324-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMSC AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "855-241-7160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Moon of Colorado LLC
• Blue Moon Senior Counseling
• Blue Moon Senior Counseling of California LLC
• Blue Moon Senior Counseling of Illinois LLC
• Donell Bluford Jr., LCSW
• BMSC Hi LLC
• BMSC Mi LLC
• BMSC NC LLC
• BMSC TX LLC
• BMSC US LLC

• Clinical Social Worker in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.