Individual provider Active NPI

Bonnie Casey Quinton, L.C.S.W.

  • Clinical Social Worker
  • Camarillo, CA
National Provider Identifier
1518953512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS9202 Issued in CA
Practice address
2460 N Ponderosa Dr
Suite a-110
Camarillo, CA 93010-2375
Phone
(805) 384-9399
Fax
(805) 384-9388
NPI assigned
Sep 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS9202 CA Primary

Addresses

Primary practice location

2460 N Ponderosa Dr
Suite a-110
Camarillo, CA 93010-2375

Mailing address

2460 N Ponderosa Dr
Suite a-110
Camarillo, CA 93010-2375
Phone (805) 384-9399

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS9202CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518953512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 N PONDEROSA DR",
            "address_2": "SUITE A-110",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102375",
            "telephone_number": "805-384-9399",
            "fax_number": "805-384-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N PONDEROSA DR",
            "address_2": "SUITE A-110",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102375",
            "telephone_number": "805-384-9399",
            "fax_number": "805-384-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTON",
        "first_name": "BONNIE",
        "middle_name": "CASEY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.