Bonnie Elizabeth O'Brien, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

411 Main St Rear
East Aurora, NY 14052-1700

Phone

(716) 200-8873

Fax

(716) 671-3191

NPI assigned

Sep 22, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 17, 2023 through Apr 17, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bonnie E. O'Brien, LCSW, PLLC

  • Mental Health Counselor
  • East Aurora, NY
  • NPI 1386418267
  NPD Authorized official
• Child and Family Services of Erie County

  • Community/Behavioral Health Agency
  • Buffalo, NY
  • NPI 1528103082
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1760765150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 BULLIS RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599239",
            "telephone_number": "716-200-8873",
            "fax_number": "716-671-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST REAR",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521700",
            "telephone_number": "716-200-8873",
            "fax_number": "716-671-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noon Speech Therapy, PLLC
• Cynthia Jean Norton, P.T.
• Hannah Rachel Norton, PHARMD
• Christopher Nowak
• Elizabeth Helen Nowak, RPH
• Cynthia Mary Odachowski, P.T.
• Kip Alan Palmateer, A.T.,C
• Leslie Pasco
• Puja Patel
• Brynn Elizabeth Patterson, P.T.

• Clinical Social Worker in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.