Active NPI
Bonnie L Withington, LICSW
- Clinical Social Worker
- Hyannis, MA
National Provider Identifier
1578780987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1020262
- Practice address
- 460 West Main Street
Hyannis, MA 02601-3653 - Phone
- (508) 790-3375
- Fax
- (508) 790-3304
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1020262 | MA | Primary |
Addresses
Primary practice location
460 West Main Street
Hyannis, MA 02601-3653
Mailing address
460 West Main Street
Hyannis, MA 02601-3653
Phone (508) 790-3375
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1578780987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 WEST MAIN STREET",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013653",
"telephone_number": "508-790-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 WEST MAIN STREET",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013653",
"telephone_number": "508-790-3375",
"fax_number": "508-790-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHINGTON",
"first_name": "BONNIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1020262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.