Robyn Bonacci, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW140808 Issued in PA

Practice address

1700 Sansom St FL 11
Philadelphia, PA 19103-5245

Phone

(540) 221-5545

NPI assigned

Oct 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walnut Psychotherapy Center

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1659749497
  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1801676143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S 55TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432506",
            "telephone_number": "203-556-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST FL 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035245",
            "telephone_number": "540-221-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACCI",
        "first_name": "ROBYN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW140808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Bomalaski, CRNP
• Jim Boman
• Alessandro Bombonati, M.D.
• Nikhil Bommakanti, MD
• Bona Fide Care Connections LLC
• Kelly Anne Bonafede
• Christopher Peter Bonafide, M.D.
• George Bonafino, D.O.
• Lisa Suzanne Bonanni, RPH
• Luke John Bonanni

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.