Active NPI
Bonnie Golden, LCSW
- Clinical Social Worker
- Burke, VA
National Provider Identifier
1730105834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000541
- Practice address
- 8989 Cotswold Dr
Suite 8
Burke, VA 22015-1601 - Phone
- (703) 447-8389
- Fax
- (703) 391-1595
- NPI assigned
- Jul 14, 2006
- Last updated
- Aug 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000541 | VA | Primary |
Addresses
Primary practice location
8989 Cotswold Dr
Suite 8
Burke, VA 22015-1601
Mailing address
3217 Brynwood PL
Oak Hill, VA 20171-3922
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054050 | Other | VA | ANTHEM |
| 345176 | Other | VA | UNITED HEALTH CARE |
| 512368 | Other | VA | NCPPO |
| 068541000 | Other | VA | MAGELLAN |
| 5675146 | Other | VA | FIRST HEALTH |
| 89-1726-4 | Medicaid | VA | |
| 125335 | Other | VA | VALUE OPTIONS |
| A5330001 | Other | DC | CAREFIRST BCBS |
| NF0561 | Other | VA | EMPIRE BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904000541 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Behavioral Services, Inc | Past | Accepting new patients | |
| Khaled a Khalafallah, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Cheverly, MD
- NPI 1043237878
-
- Psychiatry Physician
- Olney, MD
- NPI 1306863170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1730105834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 BRYNWOOD PL",
"city": "OAK HILL",
"state": "VA",
"postal_code": "201713922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8989 COTSWOLD DR",
"address_2": "SUITE 8",
"city": "BURKE",
"state": "VA",
"postal_code": "220151601",
"telephone_number": "703-447-8389",
"fax_number": "703-391-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "BONNIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "054050",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "345176",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "512368",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "068541000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5675146",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-1726-4",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "125335",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "A5330001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "NF0561",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.