Active NPI
Bonnie Senner MSW LTD
- Clinical Social Worker
- Highland, IL
National Provider Identifier
1710103403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BONNIE SENNER MSW LTD
- Practice address
- 1866 Sheridan Rd
Suite 218
Highland, IL 60035 - Phone
- (847) 432-4930
- NPI assigned
- Apr 18, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bonnie Senner, LCSW MSW
- Title
- Clinical Social Worker
- Phone
- (847) 432-4930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
1866 Sheridan Rd
Suite 218
Highland, IL 60035
Mailing address
1866 Sheridan Rd
Suite 218
Highland, IL 60035
Phone (847) 432-4930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 5, 2017 through Jun 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Locations
1866 Sheridan Rd
Ste 218
Highland Park, IL 60035
Phone (847) 432-4930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710103403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1866 SHERIDAN RD",
"address_2": "SUITE 218",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-432-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1866 SHERIDAN RD",
"address_2": "SUITE 218",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-432-4930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONNIE SENNER MSW LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SENNER",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "847-432-4930",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.