Sheila Kay Bonnett, LCSW – Clinical Social Worker

Key facts

NPI: 1881649481
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: LCSW10894 (AZ)
Practice address: 2500 E Show Low Lake Rd
Show Low, AZ 85901-7929
Phone: (928) 537-2951
Fax: (928) 537-8520
NPI assigned: May 23, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Snowy Mountain Counselling LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Overgaard, AZ · NPI 1891942587

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
HHS exclusion list flag: The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

License	State	Type	Specialty
LCSW10894	AZ	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Snowy Mountain Counselling LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	LCSW10894	AZ	Yes

Addresses

Primary practice location

2500 E Show Low Lake Rd
Show Low, AZ 85901-7929

Mailing address

2500 E Show Low Lake Rd
Show Low, AZ 85901-7929
Phone (928) 537-2951

Other identifiers

Identifier	Type	State	Issuer
942723	Other	AZ	AHCCCS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2008.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1881649481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017929",
            "telephone_number": "928-537-2951",
            "fax_number": "928-537-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017929",
            "telephone_number": "928-537-2951",
            "fax_number": "928-537-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETT",
        "first_name": "SHEILA",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW10894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "942723",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

All providers in Show Low, AZ · Clinical Social Worker in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.