Organization Active NPI

Bonnie Senner MSW LTD

  • Clinical Social Worker
  • Highland, IL
National Provider Identifier
1710103403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

Verify at the official NPI Registry.