Individual provider Active NPI

Bonnie Sue Cripe, PHD LMSW ACSW DAPA

  • Clinical Social Worker
  • Big Rapids, MI
National Provider Identifier
1821219882
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801035189 Issued in MI
Practice address
18554 Northland Dr
Big Rapids, MI 49307-8788
Phone
(231) 592-8090
Fax
(231) 796-3184
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801035189 MI Primary

Addresses

Primary practice location

18554 Northland Dr
Big Rapids, MI 49307-8788

Mailing address

18554 Northland Drive
Big Rapids, MI 49307-8788
Phone (231) 592-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 3, 2018 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6801035189MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821219882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18554 NORTHLAND DRIVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493078788",
            "telephone_number": "231-592-8090",
            "fax_number": "231-796-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18554 NORTHLAND DR",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493078788",
            "telephone_number": "231-592-8090",
            "fax_number": "231-796-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIPE",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PHD LMSW ACSW DAPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801035189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.