Dominique Bonds
Individual provider Active NPI Social Worker · Middle River, MD
NPI 1699478180 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1699478180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 28410 (MD)
- Practice address
- 9748 Matzon Rd
Middle River, MD 21220-1722 - Phone
- (443) 824-7742
- NPI assigned
- Mar 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28410 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28410 | MD | Yes |
Addresses
Primary practice location
9748 Matzon Rd
Middle River, MD 21220-1722
Mailing address
9748 Matzon Rd
Middle River, MD 21220-1722
Phone (443) 824-7742
Other providers in Middle River, MD
- Joan Irene Person Bennett
- Amanda Joy Berger
- Beulahco Home Care Services
- Bibi Adult Primary Care, Limited Liability Company
- Steven Robert Bode
- Chante Bonner
- Wayne Richard Bowerman
- Camille Brooks
- Katrina Burton
- Shari Cain
All providers in Middle River, MD · Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.