Carla Raquel Garcia Bonhomme, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13768 Issued in PR

Practice address

Cond Thomasville Park # II
Apt 2308
Carolina, PR 00987-8801

Phone

(787) 960-2359

NPI assigned

Jan 30, 2016

Last updated

Dec 27, 2017By the provider in NPPES

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 FL

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Gainesville, FL
  • NPI 1134287154

  Single Specialty

  Medicare reassignment NPD
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Ocala, FL
  • NPI 1033850797
  NPD
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Chiefland, FL
  • NPI 1780184994
  NPD

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1821456252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND THOMASVILLE PARK # II",
            "address_2": "APT 2308",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878801",
            "telephone_number": "787-960-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND THOMASVILLE PARK # II",
            "address_2": "APT 2308",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878801",
            "telephone_number": "787-960-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA BONHOMME",
        "first_name": "CARLA",
        "middle_name": "RAQUEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-30",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENCE",
            "identifier": "4511997",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon Antonio Galarza, MD
• Gladys Gambaro-Ferrer
• Ayeisha Michelle Gandia, OTL
• Genesis Garay Gonzalez, PHARMD
• Ivan Joel Garay O'Ferrall
• Nalix Garcia Catalan, M.D.
• Erlinda Garcia Colom, LPC
• Wilmary Garcia Flete, MD
• Jose M Garcia Garcia, MD
• Karla Marie Garcia Morales

• Clinical Social Worker in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.