Gina M. Bonino, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S1903574 Issued in OH

Practice address

1627 Henthorne Dr Ste C
Maumee, OH 43537-1370

Phone

(567) 202-5042

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gina Marie Bonino Professional name

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1609433226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 MOHLER RD",
            "city": "GRAND RAPIDS",
            "state": "OH",
            "postal_code": "435229283",
            "telephone_number": "567-202-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 HENTHORNE DR STE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371370",
            "telephone_number": "567-202-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONINO",
        "first_name": "GINA",
        "middle_name": "M.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1903574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BONINO",
            "middle_name": "MARIE",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Nicole Bolduc, MSW, LISW-S, LICDC,
• Thomas C Bolig
• David A Borgman, MBA, MS, PT
• Beau G Bortel, DPM
• Travis Rook Bosma
• Bria Bostic, RBT
• John Calvin Both, D.O.

• Clinical Social Worker in Maumee, OH
• Providers in Maumee, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.