Organization Active NPI

Bona Fide Movement LLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1902702798
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BONA FIDE MOVEMENT LLC
Practice address
2933 Overlook Brook St
Las Vegas, NV 89156-3785
Phone
(702) 203-4429
NPI assigned
Oct 17, 2026
Last updated
Oct 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Authorized official

Name
Stephanie Danielle Watman, BA, MSW, LCSW
Title
Owner
Phone
(702) 203-4429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2933 Overlook Brook St
Las Vegas, NV 89156-3785

Mailing address

2933 Overlook Brook St
Las Vegas, NV 89156-3785
Phone (702) 203-4429

NPI Registry JSON

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1902702798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 OVERLOOK BROOK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891563785",
            "telephone_number": "702-203-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 OVERLOOK BROOK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891563785",
            "telephone_number": "702-203-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONA FIDE MOVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "WATMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-203-4429",
        "authorized_official_credential": "BA, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.