Individual provider Active NPI

Rebecca Bonsignore, LMSW

  • Social Worker
  • Watkins Glen, NY
National Provider Identifier
1871354100
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
064921-01 Issued in NY
Practice address
106 S Perry St Ste 4
Watkins Glen, NY 14891-1636
Phone
(607) 535-8282
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 064921-01 NY Primary

Addresses

Primary practice location

106 S Perry St Ste 4
Watkins Glen, NY 14891-1636

Mailing address

1865 County Route 23
Watkins Glen, NY 14891
Phone (607) 857-9149

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
064921-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Mental Health CurrentSince Jan 28, 2024 Accepting new patients
Schuyler County PastSince Jan 28, 2024 Accepting new patients

Locations

106 S Perry St
Watkins Glen, NY 14891
Phone (607) 535-8140

106 S Perry St
Ste 4
Watkins Glen, NY 14891
Phone (607) 535-8282

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1871354100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 COUNTY ROUTE 23",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "14891",
            "telephone_number": "607-857-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST STE 4",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911636",
            "telephone_number": "607-535-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSIGNORE",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064921-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkins Glen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.