Individual provider Active NPI

Robin Smith-Bonner, LSW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1831328863
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S 0900589 Issued in OH
Practice address
28790 Chagrin Blvd Ste 260
Cleveland, OH 44122-4642
Phone
(216) 839-2273
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S 0900589 OH Primary

Addresses

Primary practice location

28790 Chagrin Blvd Ste 260
Cleveland, OH 44122-4642

Mailing address

7195 Cottesmore LN
Solon, OH 44139-4701
Phone (440) 498-0319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S 0900589OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1831328863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 COTTESMORE LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394701",
            "telephone_number": "440-498-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28790 CHAGRIN BLVD STE 260",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224642",
            "telephone_number": "216-839-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-BONNER",
        "first_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S 0900589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.