Jennifer Weintraub Bonjrada, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006873 Issued in VA

Practice address

401 4TH St NW
Charlottesville, VA 22903-4562

Phone

(434) 972-1887

Fax

(434) 220-0188

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Region Ten Community Community Services Board

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1942270699
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1700800174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 4TH ST NW",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034562",
            "telephone_number": "434-972-1887",
            "fax_number": "434-220-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 4TH ST NW",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034562",
            "telephone_number": "434-972-1887",
            "fax_number": "434-220-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONJRADA",
        "first_name": "JENNIFER",
        "middle_name": "WEINTRAUB",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Elaine Bonds, MD
• Catherine Bonham, M.D.
• Julia P Bonham, MS OTR/L
• Kristine Carlson Bonham, RDN
• Courtney Dyan Bonilla, LPC
• Lauren Kravetz Bonnet, PH.D., CCC-SLP
• Bonnie Lungren LLC
• Erin Bontrager
• Kimberly Booker
• Jacob Avram Boomgaardt, DO

• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.