Bonnie Beth Carr, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I2876 Issued in NM

Practice address

12 Unser Blvd SE
Suite B
Rio Rancho, NM 87124-6300

Phone

(505) 896-7880

Fax

(505) 994-2482

NPI assigned

Aug 3, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760490304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44761",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871744761",
            "telephone_number": "505-896-7880",
            "fax_number": "505-994-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UNSER BLVD SE",
            "address_2": "SUITE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246300",
            "telephone_number": "505-896-7880",
            "fax_number": "505-994-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "BONNIE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I2876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT SOCIAL WORKER",
            "identifier": "I-2876",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Carmona, LMT
• Lee A Carn, RN
• John L Carnagey, MOT
• Anne Margaret Carpenter, RN,MN,CNP,CNS
• Erika S Carpenter, LCSW
• Carolyn J Carr, SLP
• Michael Carr, PTA
• Teresa Carr, LCSW
• Talia Carreon Trimmer
• Ashley Carro, ARNP

• Clinical Social Worker in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.