Individual provider Active NPI

Bonnie Beringhause Montana, MSW LCSW

  • Clinical Social Worker
  • Eastampton, NJ
National Provider Identifier
1659496164
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00276500 Issued in NJ
Practice address
44 Woodcrest Drive
Eastampton, NJ 08060
Phone
(609) 265-2153
NPI assigned
Mar 21, 2007
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 44SC00276500 NJ Primary

Addresses

Primary practice location

44 Woodcrest Drive
Eastampton, NJ 08060

Mailing address

44 Woodcrest Drive
Eastampton, NJ 08060
Phone (609) 265-2153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2026 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC00276500NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1659496164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WOODCREST DRIVE",
            "city": "EASTAMPTON",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-265-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WOODCREST DRIVE",
            "city": "EASTAMPTON",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-265-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANA",
        "first_name": "BONNIE",
        "middle_name": "BERINGHAUSE",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00276500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastampton, NJ

Sources for this page

Verify at the official NPI Registry.