Bonnie L Popso

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015268 Issued in PA

Practice address

105 Front Street
Mt Morris, PA 15349

Phone

(724) 324-9001

Fax

(724) 324-9005

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bonnie Popso Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Care Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington, PA
  • NPI 1528103488
  NPD
• Primary Care Center of Mount Morris

  • Family Nurse Practitioner
  • Mount Morris, PA
  • NPI 1649412941
  NPD (past)
• Primary Care Center of Mt Morris

  • Family Nurse Practitioner
  • Mount Morris, PA
  • NPI 1437277373
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1720145428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "MT MORRIS",
            "state": "PA",
            "postal_code": "153490495",
            "telephone_number": "724-324-9001",
            "fax_number": "724-324-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FRONT STREET",
            "city": "MT MORRIS",
            "state": "PA",
            "postal_code": "15349",
            "telephone_number": "724-324-9001",
            "fax_number": "724-324-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPSO",
        "first_name": "BONNIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "540369",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101745151 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "POPSO",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joy Dale Nugent, NP
• Haya Obaji
• Norihito Onishi, D.O.
• Trisha Mary Petitte, NP
• Carolyn J Poe
• Primary Care Center of Mount Morris
• Primary Care Center of Mt Morris
• Diangela Dean Prunesti, D.O.
• Iram Raza, MD
• Syeda Maheen Raza, MD

• All providers in Mt Morris, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.