Bonnie Robinson Courtemanche, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126476 Issued in MA

Practice address

166 Central St
Lowell, MA 01852-1910

Phone

(978) 513-7273

Fax

(781) 268-5070

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1760065569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 CENTRAL ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521910",
            "telephone_number": "978-513-7273",
            "fax_number": "781-268-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 CENTRAL ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521910",
            "telephone_number": "978-513-7273",
            "fax_number": "781-268-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTEMANCHE",
        "first_name": "BONNIE",
        "middle_name": "ROBINSON",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2023-10-14",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT CLINICAL SOCIAL WORKER",
            "identifier": "126476",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Ann Cotter, PHARM.D., BCPS
• Efrin Cotto
• Teresa Cotto
• Tracy Cotton, RN
• Robin Y Coughlan
• Michael Courtney
• Tanya Ann Coutu, FNP-BC, RN
• Mark Couture Jr.
• Leanna Coviello
• Michael E Coyle, M.D.

• Clinical Social Worker in Lowell, MA
• Providers in Lowell, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; 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.