Bonafide Therapeutic Alliance LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BONAFIDE THERAPEUTIC ALLIANCE LLC

Practice address

1792 Patricia Dr
Clarksville, TN 37040-7345

Phone

(931) 914-4807

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Remington Vandergriff, LCSWNPI 1780921031

Title

Owner

Phone

(931) 914-4807

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Remington Vandergriff, LCSW

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1780921031
  NPD Authorized official
• Bryonna Rene Sawyer

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1740112309
  NPD (past)

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1902771256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 PATRICIA DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407345",
            "telephone_number": "931-914-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 PATRICIA DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407345",
            "telephone_number": "931-914-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Wallace Blvd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370423011",
            "country_code": "US",
            "telephone_number": "931-914-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BONAFIDE THERAPEUTIC ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "VANDERGRIFF",
        "authorized_official_first_name": "REMINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-914-4807",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

• Therica Tameica Boggs
• Amanda Paige Boles, C.M.S.W.
• David L Boles Sr., DO
• Gabriela T Bolin, MD
• Brigitte Michelle Boll, PMHNP, BC
• Journie Bond
• Tiara Bond
• Ashley Natalie Bonilla
• Bobby Bonner Jr.
• Audra Michelle Booker, MS

• Clinical Social Worker in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.