Bodnar Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001331A Issued in IN

Legal business name

BODNAR COUNSELING, INC.

Practice address

17903 State Road 23
Suite #3
South Bend, IN 46635-1642

Phone

(574) 277-2525

Fax

(574) 243-7735

NPI assigned

Feb 5, 2011

Organization subpart

No

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

Authorized official

Name

Linda M Bodnar, LCSW & LMFTNPI 1891761391

Title

Sole Owner

Phone

(574) 277-2525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Marie Bodnar, LCSW

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1891761391
  Medicare reassignment Authorized official
• Brenda Wetzel, LCSW

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1851368195
  NPD (past)

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296864000000",
    "number": "1538465752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17903 STATE ROAD 23",
            "address_2": "SUITE #3",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351642",
            "telephone_number": "574-277-2525",
            "fax_number": "574-243-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17903 STATE ROAD 23",
            "address_2": "SUITE #3",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351642",
            "telephone_number": "574-277-2525",
            "fax_number": "574-243-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODNAR COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2011-02-05",
        "status": "A",
        "authorized_official_last_name": "BODNAR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "574-277-2525",
        "authorized_official_credential": "LCSW & LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001331A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Jean Blue
• Kathryn Blum, D.P.T.
• Nichole Ann Blume
• BMM Group LLC
• Kirk Jon Bodach, MD
• Linda Marie Bodnar, LCSW
• Jennifer Boehm, PHARMD
• Amy Marie Bogart
• Kathryn Anne Bogart, FNP
• Zachary John Bogdanski, PHARMD

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.