Bonnie L. Damron, PHD, MSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BONNIE L. DAMRON, PHD, MSW, PC

Practice address

600 Roosevelt Blvd
G-2
Falls Church, VA 22044-3144

Phone

(703) 538-4289

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie L Damron, LCSWNPI 1386707024

Title

President/Owner

Phone

(703) 538-4289

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie Lucille Damron, L.C.S.W.

  • Clinical Social Worker
  • Falls Church, VA
  • NPI 1386707024

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1891097408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROOSEVELT BLVD",
            "address_2": "G-2",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443144",
            "telephone_number": "703-538-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROOSEVELT BLVD",
            "address_2": "G-2",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443144",
            "telephone_number": "703-538-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE L. DAMRON, PHD, MSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "DAMRON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "703-538-4289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh S Boldt, MD
• Grace Lillian Bomar, MED
• Thomas Thallner Bomberger
• Ashley Marie Bonamer, DO
• Jordan Bondeson
• Carl P Bontempo, M.D.
• Laura Booi
• Malgorzata Booth, L.AC.
• Gitte M Borgschulte, MD
• Rajendra Jaidev Borkar, M.D.

• Clinical Social Worker in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.