Bonnie Lynn Mora, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW 12819 Issued in AZ

Practice address

1428 E Galvin St
Phoenix, AZ 85086-9272

Phone

(602) 373-9712

Fax

(623) 224-8578

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Bonnie Lynn Northrop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1750691259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 E GALVIN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850869272",
            "telephone_number": "602-373-9712",
            "fax_number": "623-224-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 E GALVIN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850869272",
            "telephone_number": "602-373-9712",
            "fax_number": "623-224-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "BONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW 12819",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "72058132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "NORTHROP",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ledonna Denyse Moose, BSN, RN
• Allison Mootz, MS, BCBA
• Claudia Mezoh Mopecha, FNP-C
• Marben Mopera, PHARM.D.
• Barbara Lucia Mora Gonzalez, MD
• Caitlyn Juanita Mora
• Henry R Mora, M.D.
• Leticia Mora, FNP-C
• Silvia Mora, LMSW
• William Edward Mora, MD

• Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.