Victoria Ann Bonnell, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8192 Issued in SC

Practice address

25 Clark Summit Dr
F201
Bluffton, SC 29910-4205

Phone

(843) 757-4737

Fax

(843) 757-4585

NPI assigned

May 29, 2008

Last updated

Mar 13, 2014By 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

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Lowcountry Psychiatric Associates

  • Psychiatry Physician
  • Bluffton, SC
  • NPI 1780908624
  Medicare reassignment NPD

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1881852515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR",
            "address_2": "SUITE F201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-757-4737",
            "fax_number": "843-757-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR",
            "address_2": "F201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-757-4737",
            "fax_number": "843-757-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNELL",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas R. Bollin, OD
• Joel Bond, DPT
• Elizabeth Bonds
• Virginia M Boney, PH.D., LMFT, LMHC
• Alexandra Bonhag, DC
• Bonsain Complete Women's Healthcare
• Ellen Bonvie-Hart, RN
• Albert Joseph Borelli Jr., MD
• Nicole Bossak, LPCA
• Madelyn Anna Bou

• Clinical Social Worker in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.