Darra Bonham, LICSW
Individual provider Active NPI Clinical Social Worker · Hibbing, MN
NPI 1740965490 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1740965490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 29469 (MN)
- Practice address
- 2602 1St Ave
Hibbing, MN 55746-2245 - Phone
- (218) 263-5949
- NPI assigned
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonham Psychotherapy Services | Clinical | Current |
Accepting new patients |
| Kind Mind Counseling Center | Current |
Accepting new patients | |
| Calla | Current |
Accepting new patients |
Locations
2602 1st Ave
Hibbing, MN 55746
Phone (218) 203-5949
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29469 | MN | Yes |
Addresses
Primary practice location
2602 1St Ave
Hibbing, MN 55746-2245
Mailing address
2601 1St Ave
Hibbing, MN 55746-2244
Phone (218) 264-5949
Other providers in Hibbing, MN
- Lynn Marie Bigelow
- Bio-Medical Applications of Minnesota, Inc.
- Christopher Brian Bisping
- Michael Boerner
- William John Bonach
- Bosh Inc
- Allison Margaret Bottoms
- Steven Eldor Breitbarth
- Brenda Gargano
- Lori Broich
All providers in Hibbing, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.