Individual provider Active NPI

Kimberly V Bonsky, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1497230452
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405210 Issued in OH
Practice address
4400 Euclid Ave
Cleveland, OH 44103-3734
Phone
(216) 770-9025
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 I.2405210 OH Primary

Addresses

Primary practice location

4400 Euclid Ave
Cleveland, OH 44103-3734

Mailing address

4400 Euclid Ave
Cleveland, OH 44103-3734
Phone (216) 770-9025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241101001522 OH Practitioner - Clinical Social Worker 7719410448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health Services CurrentSince Aug 16, 2024 Accepting new patients
Circle Health Services CurrentSince Aug 16, 2024 Accepting new patients
Circle Health Services Past Accepting new patients
Ohioguidestone Past Accepting new patients

Locations

7580 Northcliff Ave
Cleveland, OH 44144
Phone (216) 206-7000

5209 Detroit Ave
Cleveland, OH 44102
Phone (216) 651-2037

3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800

12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846

4400 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9355

4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404

5955 Ridge Rd
Parma, OH 44129
Phone (440) 888-0300

Organizations & group practices 4

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1497230452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033734",
            "telephone_number": "216-770-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033734",
            "telephone_number": "216-770-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSKY",
        "first_name": "KIMBERLY",
        "middle_name": "V",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.