Individual provider Active NPI

Bonnie Herrmann, LCSW, ACHP-SW

  • Clinical Social Worker
  • Golden, CO
National Provider Identifier
1730753476
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925099 Issued in CO
Practice address
1171 Rudi LN
Golden, CO 80403-8040
Phone
(720) 414-0320
NPI assigned
May 17, 2021
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CO
Clinical Social Worker 1041C0700X CSW.09925099 CO Primary

Addresses

Primary practice location

1171 Rudi LN
Golden, CO 80403-8040

Mailing address

1171 Rudi LN
Golden, CO 80403-3945
Phone (720) 414-0320

Other practice location 1

383 N Corona St # 810
Denver, CO 80218-3945
Phone (720) 414-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630001195 CO Practitioner - Clinical Social Worker 3870973308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Map Your Care Illness and Grief Counseling LLCGroup PAC ID 1355712167, 2 clinicians

Practice addresses (Care Compare)

1171 Rudi LN
Golden, CO 80403-9742
Phone (720) 414-0320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09925099COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Map Your Care Illness and Grief Counseling LLC Clinical CurrentSince Nov 14, 2022 Accepting new patients
The Holding Group, LLC Clinical CurrentSince Apr 23, 2024 Accepting new patients

Locations

2590 Welton St
Ste 200
Denver, CO 80205
Phone (720) 499-9617

Interoperability endpoints

  • Direct secure messaging: theholdinggroup.bonnieherrmann@158371.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1730753476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 RUDI LN",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804033945",
            "telephone_number": "720-414-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 RUDI LN",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038040",
            "telephone_number": "720-414-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "383 N Corona St # 810",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802183945",
            "country_code": "US",
            "telephone_number": "720-414-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "BONNIE",
        "credential": "LCSW, ACHP-SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.