Bonita J. Brennan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005442 Issued in NC

Practice address

11800 Eastfield Rd
Huntersville, NC 28078

Phone

(704) 502-7114

Fax

(704) 782-3005

NPI assigned

Aug 15, 2007

Last updated

Apr 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1588856397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 EASTFIELD RD.",
            "address_2": "STE 327",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786637",
            "telephone_number": "704-502-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 EASTFIELD RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-502-7114",
            "fax_number": "704-782-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "BONITA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea H Bradford, MSP/CCC-SLP
• Gregory Maurice Bradley Jr., LMBT, MMP
• Aaron William Bradshaw, MD
• Kimberly Branscome
• Reid Breckwoldt
• Brent Crawford DDS PA
• Richard E Bridgette, PHD
• Meghan Briestansky, LPC
• Wanda P Briggs, LCMHC
• Hailey Mackenzie Brinson

• Clinical Social Worker in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.