Individual provider Active NPI

Heather Allison Bonds-Harmon, LICSW

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1699750646
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01630 Issued in RI
Practice address
750 East Ave
Pawtucket, RI 02860-6165
Phone
(401) 369-3911
Fax
(401) 337-5335
NPI assigned
Dec 13, 2005
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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 ISW01630 RI Primary

Addresses

Primary practice location

750 East Ave
Pawtucket, RI 02860-6165

Mailing address

15 Spokane St
Providence, RI 02904-1311
Phone (401) 369-3911

Other identifiers 3

IdentifierTypeStateIssuer
29268-1OtherRIBLUE CROSS
HB55479MedicaidRI
412286OtherRIBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050211000066 RI Practitioner - Clinical Social Worker 2567414147 Practice locations: Pawtucket, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 E Ave
Pawtucket, RI 02860-6165
Phone (401) 369-3911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01630RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1699750646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPOKANE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041311",
            "telephone_number": "401-369-3911",
            "fax_number": "401-310-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606165",
            "telephone_number": "401-369-3911",
            "fax_number": "401-337-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS-HARMON",
        "first_name": "HEATHER",
        "middle_name": "ALLISON",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "29268-1",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HB55479",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "412286",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.