Individual provider Active NPI

Bonnie Lynne Ulrich, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1497392633
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004347 Issued in VA
Practice address
400 Lorraine Ave
Fredericksburg, VA 22408-1929
Phone
(540) 898-1514
Fax
(540) 898-8571
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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 0904004347 VA Primary

Addresses

Primary practice location

400 Lorraine Ave
Fredericksburg, VA 22408-1929

Mailing address

1008 Landrams Retreat
Fredericksburg, VA 22401-4669
Phone (540) 809-2909

Other practice location 1

10715 Spotsylvania Ave
Fredericksburg, VA 22408-2674
Phone (540) 339-3640

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
0904004347VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling Services of Northern Virginia PastSince Jan 15, 2023 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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1497392633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 LANDRAMS RETREAT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014669",
            "telephone_number": "540-809-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LORRAINE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081929",
            "telephone_number": "540-898-1514",
            "fax_number": "540-898-8571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10715 Spotsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224082674",
            "country_code": "US",
            "telephone_number": "540-339-3640",
            "fax_number": "540-898-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "BONNIE",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.