Individual provider Active NPI

Bonnie Joyce Kneller, CISW SOCIAL WORK/PSY

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1518298538
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16291 Issued in AZ
Practice address
2705 N Essel Dr.
Tucson, AZ 85715
Phone
(520) 245-5244
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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 SW16291 AZ Primary

Addresses

Primary practice location

2705 N Essel Dr.
Tucson, AZ 85715

Mailing address

2705 N Essel Dr.
Tucson, AZ 85715
Phone (520) 245-5244

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
SW16291AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1518298538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 N ESSEL DR.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "520-245-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N ESSEL DR.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "520-245-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNELLER",
        "first_name": "BONNIE",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "CISW SOCIAL WORK/PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "SW16291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.