Bonnie Lou Fick I, LICSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

I05545 Issued in NM

Practice address

1131 Tracy Place
Carlsbad, NM 88220

Phone

(505) 234-3318

Fax

(505) 234-3452

NPI assigned

Feb 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871628776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 TRACY PLACE",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205270",
            "telephone_number": "505-234-3318",
            "fax_number": "505-234-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 TRACY PLACE",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "88220",
            "telephone_number": "505-234-3318",
            "fax_number": "505-234-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK",
        "first_name": "BONNIE",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I05545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S0147",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• School Social Worker in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.